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Organization

COUNTY OF THROCKMORTON

Active
Other names
Graham Oaks Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KIRBY D GOBER (CHIEF EXECUTIVE OFFICER)
(940) 849-2141
Entity
Organization

Contact information

Practice address
1325 1ST ST., GRAHAM, TX 76450-3603
(940) 549-8787
(940) 521-0355
Mailing address
4150 INTERNATIONAL PLAZA, SUITE 600, FORT WORTH, TX 76109-4831
(817) 348-8959
(817) 348-0466

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114203
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001016158
TX
Enumeration date
07/11/2008
Last updated
12/23/2021
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