# THI OF TEXAS AT CANTON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Manor of Canton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134216310
- **Authorized official:** JOHN PATTON (PRESIDENT)
- **Authorized official phone:** (903) 567-4169

## Contact information

- **Practice address:** 901 W COLLEGE ST, CANTON, TX 75103-1105
- **Practice address phone:** (903) 567-4169
- **Practice address fax:** (903) 567-2752
- **Mailing address:** 930 RIDGEBROOK RD, SPARKS, MD 21152-9390
- **Mailing address phone:** (410) 773-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2006
- **Last updated:** 04/03/2008