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Organization
HIGHLAND PINES NURSING HOME, LTD
Active
Organization
HIGHLAND PINES NURSING HOME, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DICK STEBBINS CPA (PRESIDENT OF THE GENERAL PARTNER)
(903) 757-5360
Entity
Organization
Contact information
Practice address
1100 N 4TH ST, LONGVIEW, TX 75601-4739
(903) 753-7661
(903) 753-1056
Mailing address
600 E WHALEY ST, LONGVIEW, TX 75601-6525
(903) 757-5360
(903) 753-8621
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000416003
—
TX
05
—
094510701
—
TX
05
—
094510702
—
TX
05
—
HO6751337
—
TX
Enumeration date
10/11/2005
Last updated
09/13/2012
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