Cleburne Country LLC

NPI #1174769483 in Beaumont, Texas

Provider Information

NPI Number
1174769483
Entity Type
Organization
Organization Name
Cleburne Country LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 17, 2008
Last Updated
Feb 3, 2009

Practice Location

Address
2485 S. MAJOR DRIVE
State
Texas
ZIP Code
77707-5019
Phone
(409) 861-4611

Authorized Official

Name
MR. JAMES W MOORE SR.
Title
PRESIDENT
Phone
(409) 962-0910

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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