Organization
THI OF TEXAS AT GRACE CARE CENTER, LLC
Active
Other names
Grace Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JOHANAN (PRESIDENT)
(940) 322-3393
Entity
Organization
Contact information
Practice address
1101 GRACE ST, WICHITA FALLS, TX 76301-4414
(940) 322-3393
(940) 720-5117
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/07/2006
Last updated
11/20/2007
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