Organization
SHIRLEY M ANDERSON
Active
Organization
SHIRLEY M ANDERSON
Active
Other names
NEW LIFE OUTREACH BOARDING HOMES
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES MEADER (ADMINISTRATOR)
(903) 387-3432
Entity
Organization
Contact information
Practice address
2016 S HIGH ST, LONGVIEW, TX 75602-3248
(903) 758-9353
(903) 758-9153
Mailing address
PO BOX 12478, LONGVIEW, TX 75607-2478
(903) 758-9353
(903) 758-9153
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
118658
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000150200
—
TX
Enumeration date
04/26/2007
Last updated
10/15/2024
Update your record
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