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Organization

GREGG HOME FOR THE AGED, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. WENDY P. MOON LNHA (ADMINISTRATOR)
(903) 984-5688
Entity
Organization

Contact information

Practice address
144 FM 1252 W, KILGORE, TX 75662-5093
(903) 984-5688
(903) 984-8010
Mailing address
144 FM 1252 W, KILGORE, TX 75662-5093
(903) 984-5688
(903) 984-8010

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
116795
TX

Other

Enumeration date
10/23/2006
Last updated
08/22/2020
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