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Organization
LABRANJOR HEALTH CARE LLC
Active
Organization
LABRANJOR HEALTH CARE LLC
Active
Other names
Lytle Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD BURL MCCASKILL (OWNER/PRESIDENT)
(940) 704-8630
Entity
Organization
Contact information
Practice address
15366 OAK STREET, LYTLE, TX 78052-0486
(830) 772-3557
(830) 772-4810
Mailing address
3003 MARTIN BLVD, WICHITA FALLS, TX 76308-1249
(940) 704-8630
(940) 228-5499
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
118358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67-5295
MEDICARE
—
Enumeration date
05/16/2008
Last updated
05/16/2008
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