Organization
HERITAGE CONVALESCENT CENTER, LTD
Active
Other names
Heritage Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUEGENA DAVIDSON PHD (ADMINISTRATOR)
(806) 352-5295
Entity
Organization
Contact information
Practice address
1009 CLYDE ST, AMARILLO, TX 79106-4225
(806) 352-5295
(806) 352-6635
Mailing address
1009 CLYDE ST, AMARILLO, TX 79106-4225
(806) 352-5295
(806) 352-6635
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
10/27/2005
Last updated
08/22/2020
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