Organization
NE HEALTH OF GRAPEVINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIOBAUGHN FRASER (AUTHORIZED REPRESENTATIVE)
(561) 801-4235
Entity
Organization
Contact information
Practice address
3729 IRA E WOODS AVE, GRAPEVINE, TX 76051-4213
(817) 809-8000
Mailing address
784 US HIGHWAY 1 STE 200, NORTH PALM BEACH, FL 33408-4415
(561) 801-4235
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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