Organization
LONGVIEW III ENTERPRISES, LLC
Active
Other names
Whispering Pines Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
2131 ALPINE RD, LONGVIEW, TX 75601-3402
(903) 757-8786
(903) 753-8163
Mailing address
4150 INTERNATIONAL PLZ STE 600, FORT WORTH, TX 76109-4831
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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