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Organization
CLINT L HINES INC
Active
Organization
CLINT L HINES INC
Active
Other names
Shady Acres Health & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS NATHANIEL HINES (ADMINISTRATOR)
(409) 379-8911
Entity
Organization
Contact information
Practice address
405 SHADY ACRES LN, NEWTON, TX 75966
(409) 379-8911
(409) 379-2851
Mailing address
405 SHADY ACRES LN, NEWTON, TX 75966
(409) 379-8911
(409) 379-2851
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
135824
TX
314000000X
Skilled Nursing Facility
Primary
676055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000445204
—
TX
Enumeration date
04/10/2007
Last updated
03/13/2023
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