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Organization
MT VERNON NURSING HOME INC
Active
Organization
MT VERNON NURSING HOME INC
Active
Other names
Mission Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAM Y POWELL L.N.F.A. (ADMINISTRATOR)
(903) 537-4424
Entity
Organization
Contact information
Practice address
501 YATES ST, MOUNT VERNON, TX 75457-3233
(903) 537-4424
(903) 537-3427
Mailing address
501 YATES ST, MOUNT VERNON, TX 75457-3233
(903) 537-4424
(903) 537-3427
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117687
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000465902
—
TX
Enumeration date
10/24/2006
Last updated
12/28/2009
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