Organization
EKKLESIA HEALTHCARE, L.L.C.
Active
Other names
Azalea Trail Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA DIANE WARD (PRESIDENT)
(254) 580-9424
Entity
Organization
Contact information
Practice address
411 SPRING CREEK ROAD, GRAND SALINE, TX 75140
(903) 962-4226
(903) 962-4492
Mailing address
PO BOX 2576, 101 N. BRAZOS STREET, WHITNEY, TX 76692-5576
(254) 694-3555
(254) 694-4252
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
118979
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014774
—
TX
05
—
021897601
—
TX
Enumeration date
01/02/2007
Last updated
01/12/2026
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