# MOORE HEALTH SERVICES CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Georgia Manor Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467439299
- **Authorized official:** MRS. ANGELIN DICKSON LNFA (REGIONAL ADMINISTRATOR)
- **Authorized official phone:** (806) 259-3566

## Contact information

- **Practice address:** 2611 W 46TH AVE, AMARILLO, TX 79110-1735
- **Practice address phone:** (803) 355-6517
- **Practice address fax:** (806) 355-4190
- **Mailing address:** 2611 W 46TH AVE, AMARILLO, TX 79110-1735
- **Mailing address phone:** (803) 355-6517
- **Mailing address fax:** (806) 355-4190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 111093 | TX | Yes |

## Other

- **Enumeration date:** 12/22/2005
- **Last updated:** 12/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000460406 | — | TX |