Organization
GROVETON TEXAS HOSPITAL AUTHORITY
Active
Other names
Goveton Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN CLEVELAND BOM (BUSINESS OFFICE MANAGER)
(936) 642-1221
Entity
Organization
Contact information
Practice address
BOX 890 HWY 287 N, GROVETON, TX 75845-0890
(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
117377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004778
FACILITY ID #
TX
Enumeration date
02/26/2007
Last updated
01/07/2009
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