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Organization
MOORE HEALTH SERVICES CORPORATION
Active
Organization
MOORE HEALTH SERVICES CORPORATION
Active
Other names
Georgia Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELIN DICKSON LNFA (REGIONAL ADMINISTRATOR)
(806) 259-3566
Entity
Organization
Contact information
Practice address
2611 W 46TH AVE, AMARILLO, TX 79110-1735
(803) 355-6517
(806) 355-4190
Mailing address
2611 W 46TH AVE, AMARILLO, TX 79110-1735
(803) 355-6517
(806) 355-4190
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000460406
—
TX
Enumeration date
12/22/2005
Last updated
12/12/2008
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