Organization
GO GO INC
Active
Other names
Truman W. Smith Childrens Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T. MINOR LVN (MDS/CARE PLAN COORDINATOR)
(903) 845-2181
Entity
Organization
Contact information
Practice address
2200 W UPSHUR AVE, GLADEWATER, TX 75647-4328
(903) 845-2181
(903) 845-3704
Mailing address
PO BOX 1468, GLADEWATER, TX 75647-1468
(903) 845-2181
(903) 845-3704
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
10/05/2005
Last updated
08/22/2020
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