Organization
NACOGDOCHES COUNTY HOSPITAL DISTRICT
Active
Other names
Legacy at Jacksonville, Bonner Street Plaza Healthcare & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN LINDSEY (ADMINISTRATOR)
(365) 694-1679
Entity
Organization
Contact information
Practice address
810 BELLAIRE ST, JACKSONVILLE, TX 75766-9045
(903) 589-5300
(903) 589-5335
Mailing address
1018 N MOUND ST STE 105, NACOGDOCHES, TX 75961-4434
(936) 221-5809
(936) 569-4159
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110205
—
TX
Enumeration date
03/10/2014
Last updated
01/02/2024
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