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Organization
LONGVIEW III ENTERPRISES, LLC
Active
Organization
LONGVIEW III ENTERPRISES, LLC
Active
Other names
Whispering Pines Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
2131 ALPINE RD, LONGVIEW, TX 75601-3402
(903) 757-8786
(903) 753-8163
Mailing address
4150 INTERNATIONAL PLZ STE 600, FORT WORTH, TX 76109-4831
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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