Organization
WHISPERING PINES LODGE ILLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY JERGER (ADMINISTRATOR)
(903) 757-8786
Entity
Organization
Contact information
Practice address
2131 ALPINE ROAD, LONGVIEW, TX 75601
(903) 757-8786
(903) 753-8163
Mailing address
2131 ALPINE ROAD, LONGVIEW, TX 75601
(903) 757-8786
(903) 753-8163
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111432
LICENSE
TX
Enumeration date
04/21/2006
Last updated
08/22/2020
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