Organization
IHS AQUISITION NO 139 INC
Active
Other names
Parkwood Place Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM TRYBUS (CFO)
(443) 539-2354
Entity
Organization
Contact information
Practice address
300 N BYNUM ST, LUFKIN, TX 75904-2707
(936) 637-7215
(936) 637-2368
Mailing address
300 N BYNUM ST, LUFKIN, TX 75904-2707
(936) 637-7215
(936) 637-2368
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
129905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000521503
—
TX
05
—
5215
—
TX
Enumeration date
07/08/2005
Last updated
01/11/2013
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