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Organization
GCC HENRIETTA, LLC
Active
Organization
GCC HENRIETTA, LLC
Active
Other names
Grace Care Center of Henrietta
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE HALLSTED (CEO)
(832) 448-3700
Entity
Organization
Contact information
Practice address
807 W BOIS D ARC ST, HENRIETTA, TX 76365-3232
(940) 538-4303
(940) 538-5576
Mailing address
807 W BOIS D ARC ST, HENRIETTA, TX 76365-3232
(940) 538-4303
(940) 538-5576
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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