# DALLAS NURSING HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOLDEN ACRES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902096241
- **Authorized official:** MR. ROBERT A CONNER (MEMBER)
- **Authorized official phone:** (610) 832-2059

## Contact information

- **Practice address:** 2525 CENTERVILLE RD, DALLAS, TX 75228-2634
- **Practice address phone:** (214) 327-4503
- **Practice address fax:** (214) 320-2683
- **Mailing address:** 527 PLYMOUTH RD, SUITE 412, PLYMOUTH MEETING, PA 19462-1641
- **Mailing address phone:** (610) 832-2059
- **Mailing address fax:** (610) 834-2937

## Taxonomy

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

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 08/01/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 675081 | MEDICARE PROVIDER (SNF) | TX |