# GIBBONS TX MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Oaks
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528447638
- **Authorized official:** ELIE DEITSCH (MANAGER)
- **Authorized official phone:** (516) 596-5222

## Contact information

- **Practice address:** 1112 GIBBINS RD, ARLINGTON, TX 76011-5618
- **Practice address phone:** (817) 274-2584
- **Mailing address:** 1112 GIBBINS RD, ARLINGTON, TX 76011-5618
- **Mailing address phone:** (817) 274-2584

## Taxonomy

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

## Other

- **Enumeration date:** 05/21/2015
- **Last updated:** 06/30/2015