Provider Demographics
NPI:1194890996
Name:HORIZONS GENERAL PARTNERSHIP
Entity type:Organization
Organization Name:HORIZONS GENERAL PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-794-0509
Mailing Address - Street 1:4904 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-2912
Mailing Address - Country:US
Mailing Address - Phone:903-794-0509
Mailing Address - Fax:903-793-6460
Practice Address - Street 1:4904 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2912
Practice Address - Country:US
Practice Address - Phone:903-794-0509
Practice Address - Fax:903-793-6460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX752404333315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000740701Medicaid
TX000761701Medicaid
TX000740801Medicaid
TX000756901Medicaid