# WHISPERING PINES LODGE ILLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659337384
- **Authorized official:** SHERRY JERGER (ADMINISTRATOR)
- **Authorized official phone:** (903) 757-8786

## Contact information

- **Practice address:** 2131 ALPINE ROAD, LONGVIEW, TX 75601
- **Practice address phone:** (903) 757-8786
- **Practice address fax:** (903) 753-8163
- **Mailing address:** 2131 ALPINE ROAD, LONGVIEW, TX 75601
- **Mailing address phone:** (903) 757-8786
- **Mailing address fax:** (903) 753-8163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 111432 | LICENSE | TX |