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Organization
IHS ACQUISITION NO 138 INC
Active
Organization
IHS ACQUISITION NO 138 INC
Active
Other names
Heritage at Longview Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN REYNOLDS (CEO)
(410) 513-8738
Entity
Organization
Contact information
Practice address
112 RUTHLYNN DR, LONGVIEW, TX 75605-5634
(903) 753-8611
(903) 758-4026
Mailing address
112 RUTHLYNN DR, LONGVIEW, TX 75605-5634
(903) 753-8611
(903) 758-4026
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
129947
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512905
—
TX
Enumeration date
08/02/2005
Last updated
07/16/2014
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