Organization
HMG GRAPEVINE SNF OPERATIONS, LP
Active
Other names
Lone Star Comprehensive Adult Care
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA PIERCE (AUTHORIZED OFFICER)
(972) 899-4401
Entity
Organization
Contact information
Practice address
1005 IRA E WOODS AVE, GRAPEVINE, TX 76051-4018
(817) 796-4621
(817) 796-4629
Mailing address
1500 WATERS RIDGE DR, SUITE 200, LEWISVILLE, TX 75057-6011
(972) 899-4401
(972) 899-4460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117706
TX
Other
Enumeration date
04/11/2006
Last updated
08/22/2020
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