Organization
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Active
Other names
COLONIAL MANOR NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID K BYROM (CEO)
(254) 248-6300
Entity
Organization
Contact information
Practice address
2035 GRANBURY ST, CLEBURNE, TX 76033-7460
(817) 645-9134
(817) 641-4662
Mailing address
2035 GRANBURY ST, CLEBURNE, TX 76033-7460
(817) 645-9134
(817) 641-4662
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004525
—
TX
Enumeration date
08/05/2014
Last updated
08/05/2014
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