Organization
PREMONT NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI MICHELLE MCCLEERY (ADMINISTRATOR)
(361) 348-3553
Entity
Organization
Contact information
Practice address
431 N.W. 3RD STREET, PREMONT, TX 78375
(361) 348-3553
(361) 348-3596
Mailing address
PO BOX Q, PREMONT, TX 78375-0260
(361) 348-3553
(361) 348-3596
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
4487
TX
Other
Enumeration date
03/24/2006
Last updated
08/22/2020
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