NE Health of Grapevine LLC

NPI #1124622451 in Grapevine, Texas

Provider Information

NPI Number
1124622451
Entity Type
Organization
Organization Name
NE Health of Grapevine LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 27, 2020
Last Updated
Nov 27, 2020

Practice Location

Address
3729 IRA E WOODS AVE
State
Texas
ZIP Code
76051-4213
Phone
(817) 809-8000

Authorized Official

Name
SIOBAUGHN FRASER
Title
AUTHORIZED REPRESENTATIVE
Phone
(561) 801-4235

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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