Organization
FALCON LAKE NURSING HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS GARZA (OWNER)
(956) 765-3040
Entity
Organization
Contact information
Practice address
200 CARLA ST, ZAPATA, TX 78076-3114
(956) 765-3040
(956) 765-1720
Mailing address
PO BOX 266, ZAPATA, TX 78076-0266
(956) 765-3040
(956) 765-1720
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005353
HHSC - FACILITY ID
TX
Enumeration date
11/22/2021
Last updated
12/23/2021
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