Organization
LUFKIN LTC LLC
Active
Other names
The Grace Care Center of Lufkin
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE HALLSTED (PRESIDENT)
(832) 448-3700
Entity
Organization
Contact information
Practice address
504 N JOHN REDDITT DR, LUFKIN, TX 75904-2644
(936) 632-3331
(936) 634-1611
Mailing address
504 N JOHN REDDITT DR, LUFKIN, TX 75904-2644
(936) 632-3331
(936) 634-1611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
107684
TX
Other
Enumeration date
06/18/2006
Last updated
08/22/2020
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