Organization
GCC HENRIETTA, LLC
Active
Other names
Grace Care Center of Henrietta
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE HALLSTED (CEO)
(832) 448-3700
Entity
Organization
Contact information
Practice address
807 W BOIS D ARC ST, HENRIETTA, TX 76365-3232
(940) 538-4303
(940) 538-5576
Mailing address
807 W BOIS D ARC ST, HENRIETTA, TX 76365-3232
(940) 538-4303
(940) 538-5576
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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