Organization
CLEBURNE COUNTRY LLC
Active
Other names
SUMMER PLACE NURSING & REHABILITATION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W MOORE SR. (PRESIDENT)
(409) 962-0910
Entity
Organization
Contact information
Practice address
2485 S. MAJOR DRIVE, BEAUMONT, TX 77707-5019
(409) 861-4611
Mailing address
4500 MAIN AVE, GROVES, TX 77619-4712
(409) 962-0910
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
12/17/2008
Last updated
02/03/2009
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