Organization
IHS ACQUISITION NO 132 INC
Active
Other names
Heritage Gardens Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM TRYBUS (CFO)
(443) 539-2354
Entity
Organization
Contact information
Practice address
2135 DENTON DR, CARROLLTON, TX 75006-3103
(972) 242-0667
(972) 242-8641
Mailing address
2135 DENTON DR, CARROLLTON, TX 75006-3103
(972) 242-0667
(972) 242-8641
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
112805
TX
Other
Enumeration date
07/05/2005
Last updated
11/13/2007
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