Organization
MICHELLE'S CARE HOME
Active
Other names
JM McClellan Properties
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY MCCLELLAN (OWNER/ADMINISTRATOR)
(361) 658-6986
Entity
Organization
Contact information
Practice address
1310 POPLAR ST, JOURDANTON, TX 78026-2239
(830) 767-3082
(830) 767-3082
Mailing address
1310 POPLAR ST, JOURDANTON, TX 78026-2239
(830) 767-3082
(830) 767-3082
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
144279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
612708747
—
TX
Enumeration date
02/26/2016
Last updated
05/26/2016
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