# GCC HENRIETTA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grace Care Center of Henrietta
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871900944
- **Authorized official:** JAKE HALLSTED (CEO)
- **Authorized official phone:** (832) 448-3700

## Contact information

- **Practice address:** 807 W BOIS D ARC ST, HENRIETTA, TX 76365-3232
- **Practice address phone:** (940) 538-4303
- **Practice address fax:** (940) 538-5576
- **Mailing address:** 807 W BOIS D ARC ST, HENRIETTA, TX 76365-3232
- **Mailing address phone:** (940) 538-4303
- **Mailing address fax:** (940) 538-5576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | TX | Yes |

## Other

- **Enumeration date:** 07/21/2014
- **Last updated:** 07/21/2014