Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Other names
Longmeadow Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
120 MEADOW VIEW DR, JUSTIN, TX 76247-9639
(940) 648-2731
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028707
—
TX
Enumeration date
11/04/2013
Last updated
07/17/2020
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