Organization
IHS ACQUISITION NO 129 INC
Active
Other names
Heritage Manor Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN REYNOLDS (CEO)
(410) 513-8738
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
—
000510206
—
TX
Enumeration date
07/20/2005
Last updated
07/16/2014
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