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SHIRLEY ANDERSON

Assisted Living, Mental Illness

Longview, Texas

Provider NPI: 1346468444

Organization Information:
Organization Name:  SHIRLEY ANDERSON


Practice Location:
1511 S MOBBERLY AVE  LONGVIEW, TX 75602 US
Tel: 903-758-9353  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
TX118552

Other Provider Identifiers:

IssuerNumberStateType
001003304TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS TX - Page 1