Organization
LABRANJOR HEALTH CARE LLC
Active
Other names
Lytle Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD BURL MCCASKILL (OWNER/PRESIDENT)
(940) 704-8630
Entity
Organization
Contact information
Practice address
15366 OAK STREET, LYTLE, TX 78052-0486
(830) 772-3557
(830) 772-4810
Mailing address
3003 MARTIN BLVD, WICHITA FALLS, TX 76308-1249
(940) 704-8630
(940) 228-5499
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
118358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67-5295
MEDICARE
—
Enumeration date
05/16/2008
Last updated
05/16/2008
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