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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