Organization
DALLAS NURSING HOME LLC
Active
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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