Organization
OLD TOWN HEALTH CARE LTD
Active
Other names
Oak Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SAINTIGNAN (MEMBER)
(936) 564-7359
Entity
Organization
Contact information
Practice address
1200 FERGUSON ST, NACOGDOCHES, TX 75961-4068
(936) 564-7359
(936) 564-6503
Mailing address
1200 FERGUSON ST, NACOGDOCHES, TX 75961-4068
(936) 564-7359
(936) 564-6503
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004387
—
TX
Enumeration date
11/21/2013
Last updated
11/21/2013
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