| NPI | 1336543081 |
|---|---|
| Doing Business As | GRAPEVINE MEDICAL LODGE |
| Entity Type | Organization |
| Authorized Contact | BRIAN TODD SCROGGINS CEO 940-900-4348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2025-05-21 |