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East Texas Phc, Llc
Home Health Agency in Longview, Texas
NPI 1558564336

East Texas Phc, Llc is a Home Health Agency based in Longview, TX. East Texas Phc, Llc practices in Longview, TX. The NPI Number for East Texas Phc, Llc is 1558564336 and holds a License No. (Texas).

The current practice location address for East Texas Phc, Llc is 602 E Whaley St, Longview, TX and can be reached out via phone at 903-753-2273 and via fax at 903-753-2274.

Location: 602 E Whaley St, Longview, TX, 75601-5414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558564336
Provider Name
East Texas Phc, Llc
Credential
Provider Entity Type
Organization
Address
602 E Whaley St, Longview, TX, 75601-5414
Phone Number
903-753-2273
Fax Number
903-753-2274
Provider Enumeration Date
06/07/2007
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
011536 01 TX TDH LICENSE
institution
Provider Business Practice Location Address Details
Address
602 E Whaley St
City
Longview
State
Texas
Zip
75601-6525
Phone Number
903-753-2273
Fax Number
903-753-2274
person
Provider Business Mailing Address Details
Address
602 E Whaley St
City
Longview
State
Texas
Zip
75601-6525
Phone Number
903-753-2273
Fax Number
903-753-2274
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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