<Unavail>

LBN: Shirley M Anderson
<Unavail> is an health care organization with primary practice located at 1511 S Mobberly Ave , Longview TX 75602-2935. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness. Nursing & Custodial Care Facilities / Assisted Living, Mental Illness is the primary health care specialty. Shirley M Anderson can be contacted via phone (903) 758-9353, or through Meader, Frances via phone (903) 387-3432.

Contact Information

Primary practice address
1511 S Mobberly Ave Longview TX 75602-2935
Phone: (903) 758-9353
Fax: (903) 758-9153
Website:
Map and Directions
Authorized official contact:
Name: Meader, Frances
Phone: (903) 387-3432

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X 118552 Texas

Profile Details

NPI number 1346468444
LBN Legal business name Shirley M Anderson
DBA Doing business as <Unavail>
Authorized official Meader, Frances
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Oct 15th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346468444 NPPES
Texas MEDICAID 001003304

Popular Providers