Kilgore Manor INC

NPI #1447246145 in Kilgore, Texas

Provider Information

NPI Number
1447246145
Entity Type
Organization
Organization Name
Kilgore Manor INC
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Sep 27, 2005
Last Updated
Aug 28, 2008

Practice Location

Address
2700 S HENDERSON BLVD
State
Texas
ZIP Code
75662-4033
Phone
(903) 984-3511

Authorized Official

Name
MRS. JANICE PITA
Title
INSURANCE/MEDICARE
Phone
(580) 622-6300

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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