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Organization
EKKLESIA HEALTHCARE, L.L.C.
Active
Organization
EKKLESIA HEALTHCARE, L.L.C.
Active
Other names
Azalea Trail Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA DIANE WARD (PRESIDENT)
(254) 580-9424
Entity
Organization
Contact information
Practice address
411 SPRING CREEK ROAD, GRAND SALINE, TX 75140
(903) 962-4226
(903) 962-4492
Mailing address
PO BOX 2576, 101 N. BRAZOS STREET, WHITNEY, TX 76692-5576
(254) 694-3555
(254) 694-4252
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
118979
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014774
—
TX
05
—
021897601
—
TX
Enumeration date
01/02/2007
Last updated
01/12/2026
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