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Shady Shores of Premont LLC — NPI 1881079101, Premont, TX | NPI Central

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NPI 1881079101

OrganizationActive

Shady Shores of Premont LLC

NPI 1881079101 · Skilled Nursing Facility · Premont, TX

Provider details

NPI number: 1881079101
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Michael Wallace, Ceo(214) 422-1622

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000X
Nursing & Custodial Care Facilities

Practice location

431 Nw 3rd St.

Premont, TX 78375

Phone: (361) 348-3553

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

320 Eagle Dr

Denton, TX 76201-6898

Other names (DBA / former)

Doing business as: Premont Rehab and Nursing Center

Registry dates

Enumerated: 2015-07-28
Last updated: 2016-06-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.