Organization
ARBOR GRACE SKILLED NURSING AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWNE R SMITH (MANAGER)
(318) 812-2140
Entity
Organization
Contact information
Practice address
144 FM 1252 W, KILGORE, TX 75662-5093
(903) 984-5688
(903) 984-8010
Mailing address
101 N 2ND ST, SUITE 200, WEST MONROE, LA 71291-3266
(318) 812-2140
(318) 812-2143
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004677
—
TX
Enumeration date
08/07/2013
Last updated
08/07/2013
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