Organization
LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
Active
Other names
Twin Oaks Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BRUCE STRATTON (PRESIDENT)
(936) 336-7422
Entity
Organization
Contact information
Practice address
1123 N. BOLTON ST., JACKSONVILLE, TX 75766-4003
(903) 586-9031
(903) 586-2160
Mailing address
4150 INTERNATIONAL PLAZA, SUITE 600, FORT WORTH, TX 76109-4831
(817) 348-8959
(817) 348-0466
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004826
—
TX
01
—
004803
DADS VENDOR
—
05
—
167214901
—
TX
Enumeration date
05/02/2006
Last updated
02/09/2022
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