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Organization
HMG GRAPEVINE SNF OPERATIONS, LP
Active
Organization
HMG GRAPEVINE SNF OPERATIONS, LP
Active
Other names
Lone Star Comprehensive Adult Care
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA PIERCE (AUTHORIZED OFFICER)
(972) 899-4401
Entity
Organization
Contact information
Practice address
1005 IRA E WOODS AVE, GRAPEVINE, TX 76051-4018
(817) 796-4621
(817) 796-4629
Mailing address
1500 WATERS RIDGE DR, SUITE 200, LEWISVILLE, TX 75057-6011
(972) 899-4401
(972) 899-4460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117706
TX
Other
Enumeration date
04/11/2006
Last updated
08/22/2020
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