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Organization
FALCON LAKE HEALTH CARE, LTD
Active
Organization
FALCON LAKE HEALTH CARE, LTD
Active
Other names
Falcon Lake Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN GRAVES (ADMINISTRATOR)
(956) 765-3040
Entity
Organization
Contact information
Practice address
200 CARLA STREET, ZAPATA, TX 78076
(956) 765-3040
Mailing address
1434 STOP14B, ZAPATA, TX 78076-2812
(956) 765-3040
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
NULL
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013854
—
TX
Enumeration date
05/18/2007
Last updated
02/03/2009
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