Organization
BANNOCKBURN GROUP, LLC
Active
Other names
Ralls Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JAY WYATT (MANAGING MEMBER)
(806) 771-0272
Entity
Organization
Contact information
Practice address
1111 AVENUE P, RALLS, TX 79357-3502
(806) 253-2596
(806) 253-2749
Mailing address
11006 GENOA AVE, LUBBOCK, TX 79424-3838
(806) 771-0272
(806) 771-0272
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000
TX
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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