Organization
NAVARRO CONVALESCENT, INC.
Active
Other names
Heritage Oaks Retirement Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W MOORE SR. (OWNER)
(409) 962-0910
Entity
Organization
Contact information
Practice address
3002 W 2ND AVE, CORSICANA, TX 75110-2408
(903) 872-5130
Mailing address
3002 W 2ND AVE, CORSICANA, TX 75110-2408
(903) 872-5130
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005357
—
TX
Enumeration date
12/05/2005
Last updated
05/28/2010
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