Organization
COUNTY OF THROCKMORTON
Active
Other names
Garden Terrace Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIRBY GOBER (CEO)
(940) 849-2141
Entity
Organization
Contact information
Practice address
1224 CORVADURA ST, GRAHAM, TX 76450-4355
(940) 549-4646
(940) 549-8006
Mailing address
PO BOX 729, THROCKMORTON, TX 76483-0729
(940) 849-2141
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026248
—
TX
01
—
004896
FACILITY ID NO.
TX
Enumeration date
05/18/2006
Last updated
03/10/2015
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