Organization
SABINE VALLEY REGIONAL MHMR CENTER
Active
Organization
SABINE VALLEY REGIONAL MHMR CENTER
Active
Other names
Sabine Valley Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY O VILLARREAL PESC (PROVIDER ENROLLMENT/CREDENTIALING)
(903) 234-4226
Entity
Organization
Contact information
Practice address
107 WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 758-2471
(903) 234-0862
Mailing address
PO BOX 6800, LONGVIEW, TX 75608-6800
(903) 758-2471
(903) 234-0862
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001007205
CONTRACT NUMBER
TX
Enumeration date
04/12/2007
Last updated
08/16/2023
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