Organization
STONELEIGH HEALTH CARE CENTER LTD. CO
Active
Other names
Larkspur
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN UNDERHILL (CHIEF EXECUTIVE)
(214) 954-4114
Entity
Organization
Contact information
Practice address
201 S JOHN REDDITT DR, LUFKIN, TX 75904-3142
(936) 632-3346
(936) 637-7865
Mailing address
2537 GOLDEN BEAR DR, CARROLLTON, TX 75006-2377
(214) 954-4114
(214) 871-3057
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111413
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000444103
—
TX
05
—
001013980
—
TX
05
—
022629202
—
TX
Enumeration date
09/22/2005
Last updated
04/11/2013
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