NPI 1083764112
Burke Center
Practice location
- Address
- 2712 SE Stallings Dr, Nacogdoches, TX 75961-7442
- Phone
- (936) 564-3147
- Fax
- (936) 639-5837
- Mailing address
- PO Box 151608, Lufkin, TX 75915-1608
Authorised official
- Name
- Dorthey Singleton
- Title
- Accounting Clerk
- Phone
- (936) 631-6149
Registered specialties
Mental Illness Intermediate Care Facility
Primary
Registry record
- NPI
- 1083764112
- Entity type
- Organization
- NPI issued
- 11 Jan 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.