Gcc Henrietta, LLC

NPI #1871900944 in Henrietta, Texas

Provider Information

NPI Number
1871900944
Entity Type
Organization
Organization Name
Gcc Henrietta, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 21, 2014
Last Updated
Jul 21, 2014

Practice Location

Address
807 W BOIS D ARC ST
State
Texas
ZIP Code
76365-3232
Phone
(940) 538-4303

Authorized Official

Name
JAKE HALLSTED
Title
CEO
Phone
(832) 448-3700

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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