Organization
LION STAR NACOGDOCHES HOSPITAL, LLC
Active
Other names
Cecil B. Bomar Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY BOYD CPA (CFO)
(936) 568-8523
Entity
Organization
Contact information
Practice address
707 WOODS ST, NACOGDOCHES, TX 75961-4411
(936) 568-8488
Mailing address
707 WOODS ST, NACOGDOCHES, TX 75961-4411
(936) 568-8488
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
10/26/2022
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