Organization
NACOGDOCHES COUNTY HOSPITAL DISTRICT
Active
Other names
Heritage at Longview Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R PAYNE (MANAGER)
(469) 916-6100
Entity
Organization
Contact information
Practice address
112 RUTHLYNN DR, LONGVIEW, TX 75605-5634
(903) 753-8611
(903) 758-4026
Mailing address
1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
(936) 568-8523
(936) 568-8588
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
136092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005129
—
TX
Enumeration date
12/22/2014
Last updated
12/08/2022
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