Organization
PINE HILLS HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES G GLADNEY (MANAGING MEMBER)
(318) 281-0078
Entity
Organization
Contact information
Practice address
144 FM 1252 W, KILGORE, TX 75662-5093
(903) 984-5688
(903) 984-8010
Mailing address
1523 TEXAS AVE, BASTROP, LA 71220-4043
(318) 281-0078
(318) 281-2753
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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