Provider Demographics
NPI:1912917899
Name:ATLANTA NURSING HOMES INC.
Entity Type:Organization
Organization Name:ATLANTA NURSING HOMES INC.
Other - Org Name:ROSE HAVEN RETREAT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-796-4127
Mailing Address - Street 1:PO BOX 240
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:TX
Mailing Address - Zip Code:75551-0240
Mailing Address - Country:US
Mailing Address - Phone:903-796-4127
Mailing Address - Fax:903-796-2991
Practice Address - Street 1:200 LIVE OAK
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:TX
Practice Address - Zip Code:75551
Practice Address - Country:US
Practice Address - Phone:903-796-4127
Practice Address - Fax:903-796-2991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX ID NUMBER
TX=========OtherTAX ID NUMBER