Organization
MT VERNON NURSING HOME INC
Active
Other names
Mission Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAM Y POWELL L.N.F.A. (ADMINISTRATOR)
(903) 537-4424
Entity
Organization
Contact information
Practice address
501 YATES ST, MOUNT VERNON, TX 75457-3233
(903) 537-4424
(903) 537-3427
Mailing address
501 YATES ST, MOUNT VERNON, TX 75457-3233
(903) 537-4424
(903) 537-3427
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117687
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000465902
—
TX
Enumeration date
10/24/2006
Last updated
12/28/2009
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