Organization
DALLAS NURSING HOME LLC
Active
Other names
GOLDEN ACRES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CONNER (MEMBER)
(610) 832-2059
Entity
Organization
Contact information
Practice address
2525 CENTERVILLE RD, DALLAS, TX 75228-2634
(214) 327-4503
(214) 320-2683
Mailing address
527 PLYMOUTH RD, SUITE 412, PLYMOUTH MEETING, PA 19462-1641
(610) 832-2059
(610) 834-2937
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
118035
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00212200
HOSPICE - MEDICAID
TX
01
—
45-1635
HOSPICE - MEDICARE
TX
Enumeration date
08/05/2007
Last updated
08/05/2007
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