Organization
PLANO HEALTHCARE RESIDENCE OPERATOR LLC
Active
Other names
Heritage Manor Healthcare Residence
Organization subpart
No
Provider details
NPI number
Authorized official
JOE NEUMAN (CEO)
(214) 396-3462
Entity
Organization
Contact information
Practice address
1621 COIT RD, PLANO, TX 75075-6141
(972) 596-7930
(972) 867-6788
Mailing address
1621 COIT RD, PLANO, TX 75075-6141
(972) 596-7930
(972) 867-6788
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
134185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026813
—
TX
Enumeration date
02/25/2015
Last updated
06/21/2016
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