# JORDAN & GILLIS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Heritage Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225117419
- **Authorized official:** RHONDA ROLEN LNFA (ADMINISTRATOR)
- **Authorized official phone:** (903) 763-2284

## Contact information

- **Practice address:** 1026 E GOODE ST, QUITMAN, TX 75783-1641
- **Practice address phone:** (903) 763-2284
- **Practice address fax:** (903) 763-4301
- **Mailing address:** 1026 E GOODE ST, QUITMAN, TX 75783-1641
- **Mailing address phone:** (903) 763-2284
- **Mailing address fax:** (903) 763-4301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 000410803 | TX | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 02/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4108 | — | TX |