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Organization
GROVETON TEXAS HOSPITAL AUTHORITY
Active
Organization
GROVETON TEXAS HOSPITAL AUTHORITY
Active
Other names
Goveton Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN CLEVELAND BOM (BUSINESS OFFICE MANAGER)
(936) 642-1221
Entity
Organization
Contact information
Practice address
BOX 890 HWY 287 N, GROVETON, TX 75845-0890
(936) 642-1221
(936) 642-2727
Mailing address
PO BOX 890, GROVETON, TX 75845-0890
(936) 642-1221
(936) 642-2727
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
117377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004778
FACILITY ID #
TX
Enumeration date
02/26/2007
Last updated
01/07/2009
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