Organization
GRACE CARE OF TEXAS, INC.
Active
Other names
Community Care Center of Crockett
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J MCKAY (CFO)
(940) 442-6020
Entity
Organization
Contact information
Practice address
150 E LOOP 304, CROCKETT, TX 75835
(936) 544-2051
(936) 544-8605
Mailing address
150 E LOOP 304, CROCKETT, TX 75835
(936) 544-2051
(936) 544-8605
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004802
—
TX
Enumeration date
09/07/2005
Last updated
08/22/2020
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