Organization
NEW GRAHAM OAKS CARE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MICHAEL WILLMETH L.N.F.A (ADMINISTRATOR)
(940) 549-8787
Entity
Organization
Contact information
Practice address
1325 1ST ST, GRAHAM, TX 76450-3603
(940) 549-8787
(994) 054-9557
Mailing address
1325 1ST ST, GRAHAM, TX 76450-3603
(940) 549-8787
(994) 054-9557
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5241
VENDER NUMBER
TX
Enumeration date
02/17/2006
Last updated
08/22/2020
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