Organization
HIGHLAND PINES NURSING HOME, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DICK STEBBINS CPA (PRESIDENT OF THE GENERAL PARTNER)
(903) 757-5360
Entity
Organization
Contact information
Practice address
1100 N 4TH ST, LONGVIEW, TX 75601-4739
(903) 753-7661
(903) 753-1056
Mailing address
600 E WHALEY ST, LONGVIEW, TX 75601-6525
(903) 757-5360
(903) 753-8621
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000416003
—
TX
05
—
094510701
—
TX
05
—
094510702
—
TX
05
—
HO6751337
—
TX
Enumeration date
10/11/2005
Last updated
09/13/2012
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