# CLEBURNE HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cleburne Rehabilitation and Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679735781
- **Authorized official:** LAMON FURR (PRESIDENT)
- **Authorized official phone:** (817) 645-1879

## Contact information

- **Practice address:** 1108 W KILPATRICK ST, CLEBURNE, TX 76031-7477
- **Practice address phone:** (817) 645-3931
- **Practice address fax:** (817) 645-1879
- **Mailing address:** 930 RIDGEBROOK RD, SPARKS, MD 21152-9390
- **Mailing address phone:** (410) 773-1000

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 09/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001016190 | — | TX |