Organization
GORDON JORDAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A CALLOWAY RN (DIRECTOR OF OPERATIONS)
(903) 230-7696
Entity
Organization
Contact information
Practice address
600 E WHALEY ST, LONGVIEW, TX 75601-6525
(903) 230-7682
(903) 230-7696
Mailing address
600 E WHALEY ST, LONGVIEW, TX 75601-6525
(903) 230-7682
(903) 230-7696
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
09/12/2019
Last updated
06/01/2021
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