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Organization
GREGG HOME FOR THE AGED, INC
Active
Organization
GREGG HOME FOR THE AGED, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY P. MOON LNHA (ADMINISTRATOR)
(903) 984-5688
Entity
Organization
Contact information
Practice address
144 FM 1252 W, KILGORE, TX 75662-5093
(903) 984-5688
(903) 984-8010
Mailing address
144 FM 1252 W, KILGORE, TX 75662-5093
(903) 984-5688
(903) 984-8010
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
116795
TX
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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