# FALCON LAKE HEALTH CARE, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Falcon Lake Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952519688
- **Authorized official:** MRS. SUSAN GRAVES (ADMINISTRATOR)
- **Authorized official phone:** (956) 765-3040

## Contact information

- **Practice address:** 200 CARLA STREET, ZAPATA, TX 78076
- **Practice address phone:** (956) 765-3040
- **Mailing address:** 1434 STOP14B, ZAPATA, TX 78076-2812
- **Mailing address phone:** (956) 765-3040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 02/03/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001013854 | — | TX |