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Organization

GROVETON TEXAS HOSPITAL AUTHORITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER LYNN CLEVELAND MBA (BUSINESS OFFICE MANAGER)
(936) 642-1221
Entity
Organization

Contact information

Practice address
1020 W 1ST ST, GROVETON, TX 75845
(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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000477801
TX
Enumeration date
12/06/2006
Last updated
12/29/2008
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