Organization
JORDAN & GILLIS INC
Active
Other names
The Heritage Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA ROLEN LNFA (ADMINISTRATOR)
(903) 763-2284
Entity
Organization
Contact information
Practice address
1026 E GOODE ST, QUITMAN, TX 75783-1641
(903) 763-2284
(903) 763-4301
Mailing address
1026 E GOODE ST, QUITMAN, TX 75783-1641
(903) 763-2284
(903) 763-4301
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000410803
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4108
—
TX
Enumeration date
11/06/2006
Last updated
02/07/2012
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