Organization
AMARILLO VI ENTERPRISES, LLC
Active
Other names
Georgia Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
2611 SW 46TH AVE, AMARILLO, TX 79110-1735
(806) 355-6517
(806) 355-4190
Mailing address
2611 SW 46TH AVE, AMARILLO, TX 79110-1735
(806) 355-6517
(806) 355-4190
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014027
—
TX
01
—
004604
VENDOR
—
Enumeration date
12/18/2008
Last updated
08/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us