Organization
SABINE VALLEY REGIONAL MHMR CENTER
Active
Other names
Sabine Valley Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY O VILLARREAL PESC (CREDENTIALING SPECIALIST)
(903) 234-4226
Entity
Organization
Contact information
Practice address
107 WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 758-2471
(903) 234-0862
Mailing address
107 WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 758-2471
(903) 234-0862
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001014496
CLASS VENDOR NUMBER
TX
01
—
001015934
CLASS VENDOR NUMBER
TX
01
—
1932225893
CLASS CONTRACT NUMBER
TX
01
—
60S9431I
CLASS CONTRACT NUMBER
TX
Enumeration date
03/22/2007
Last updated
08/16/2023
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