Organization
CLARENDON SKILLED CARE LTD
Active
Other names
Community Care Center of Clarendon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN P FREEBOURN (MANAGING PARTNER)
(940) 220-6440
Entity
Organization
Contact information
Practice address
TEN MEDICAL CENTER DRIVE, CLARENDON, TX 79226-0300
(806) 874-5221
(806) 874-5619
Mailing address
1714 TEASLEY LN, DENTON, TX 76205-7795
(940) 220-6440
(940) 220-6443
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117095
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000491801
—
TX
Enumeration date
02/29/2008
Last updated
11/24/2008
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