<Unavail>

LBN: Longview Ii Enterprises, Llc
<Unavail> is an health care organization with primary practice located at 3102 Gilmer Rd A, Longview TX 75604-1439. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Longview Ii Enterprises, Llc can be contacted via phone (903) 295-1711, or through Blake, Gary via phone (817) 832-3654.

Contact Information

Primary practice address
3102 Gilmer Rd A Longview TX 75604-1439
Phone: (903) 295-1711
Fax: (903) 297-0904
Website:
Map and Directions
Authorized official contact:
Name: Blake, Gary
Phone: (817) 832-3654

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 117173 Texas

Profile Details

NPI number 1861559841
LBN Legal business name Longview Ii Enterprises, Llc
DBA Doing business as <Unavail>
Authorized official Blake, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Oct 31st, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861559841 NPPES
Texas MEDICAID 100155

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