Provider Demographics
NPI:1245307933
Name:DRAUGHN & SONS LC
Entity type:Organization
Organization Name:DRAUGHN & SONS LC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-886-7754
Mailing Address - Street 1:2929 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:TX
Mailing Address - Zip Code:75428-3726
Mailing Address - Country:US
Mailing Address - Phone:903-886-7754
Mailing Address - Fax:
Practice Address - Street 1:2927 MONROE ST
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:TX
Practice Address - Zip Code:75428-3742
Practice Address - Country:US
Practice Address - Phone:903-886-7754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118551310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility