Organization
CLARENDON NH OPERATIONS
Active
Other names
CLARENDON NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT SPORE (CEO)
(806) 637-7561
Entity
Organization
Contact information
Practice address
TEN MEDICAL CENTER DRIVE, CLARENDON, TX 79226
(937) 459-2297
Mailing address
TEN MEDICAL CENTER DRIVE, CLARENDON, TX 79226
(806) 874-5221
(806) 874-5619
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
146235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004918
—
TX
Enumeration date
02/16/2016
Last updated
01/03/2017
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