Organization
FALCON LAKE HEALTH CARE, LTD
Active
Other names
Falcon Lake Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN GRAVES (ADMINISTRATOR)
(956) 765-3040
Entity
Organization
Contact information
Practice address
200 CARLA STREET, ZAPATA, TX 78076
(956) 765-3040
Mailing address
1434 STOP14B, ZAPATA, TX 78076-2812
(956) 765-3040
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013854
—
TX
Enumeration date
05/18/2007
Last updated
02/03/2009
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