Organization
LONGVIEW II ENTERPRISES, LLC
Active
Other names
Songbird Assisted Living A
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 832-3654
Entity
Organization
Contact information
Practice address
3102 GILMER RD, A, LONGVIEW, TX 75604-1439
(903) 295-1711
(903) 297-0904
Mailing address
3102 GILMER RD, A, LONGVIEW, TX 75604-1439
(903) 295-1711
(903) 297-0904
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
117173
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100155
—
TX
Enumeration date
01/02/2007
Last updated
10/31/2007
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