Organization
SOUTHLAND HEALTH CARE CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HULEN SQUYRES (L.L.C.-PARTNER)
(936) 639-1252
Entity
Organization
Contact information
Practice address
501 N MEDFORD DR, LUFKIN, TX 75901-5219
(936) 639-1252
(936) 639-1455
Mailing address
501 N MEDFORD DR, LUFKIN, TX 75901-5219
(936) 639-1252
(936) 639-1455
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
111109
TX
Other
Enumeration date
11/21/2005
Last updated
08/22/2020
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