Organization
ATLANTA NURSING HOMES INC
Active
Other names
DBA Golden Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD M. JESTER (ADMINISTRATOR)
(903) 796-0290
Entity
Organization
Contact information
Practice address
1104 S WILLIAM ST, ATLANTA, TX 75551-3246
(903) 796-0290
(903) 796-3976
Mailing address
1104 S WILLIAM ST, ATLANTA, TX 75551-3246
(903) 796-0290
(903) 796-3976
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
117876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000437602
—
TX
Enumeration date
02/01/2007
Last updated
12/15/2008
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