# CLAYSTONE HEALTHCARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316935182
- **Authorized official:** COURTNEY HOPKINS LVN (MEDICARE MANAGER)
- **Authorized official phone:** (972) 875-8411

## Contact information

- **Practice address:** 1107 S CLAY ST, ENNIS, TX 75119-6414
- **Practice address phone:** (972) 875-8411
- **Mailing address:** 1107 S CLAY ST, ENNIS, TX 75119-6414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 110537 | TX | Yes |

## Other

- **Enumeration date:** 10/06/2005
- **Last updated:** 08/22/2020