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Shirley Anderson
Assisted Living Facility (Mental Illness) in Longview, Texas
NPI 1679793319

Shirley Anderson is an Assisted Living Facility (Mental Illness) based in Longview, TX and is specialized in Assisted Living, Mental Illness. Shirley Anderson practices in Longview, TX. The NPI Number for Shirley Anderson is 1679793319 and holds a License No. (Texas).

The current practice location address for Shirley Anderson is 2016 S High St, Longview, TX and can be reached out via phone at 903-758-9353 and via fax at 903-758-9153. You can also correspond with Shirley Anderson through the mailing address at PO BOX 12478, LONGVIEW, TX - 75607-2478 (mailing address contact number: 903-758-9353).

Location: 2016 S High St, Longview, TX, 75607-2478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679793319
Provider Name
Shirley Anderson
Credential
Provider Entity Type
Organization
Address
2016 S High St, Longview, TX, 75607-2478
Phone Number
903-758-9353
Fax Number
903-758-9153
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000150200 05 TX
institution
Provider Business Practice Location Address Details
Address
2016 S High St
City
Longview
State
Texas
Zip
75602-3248
Phone Number
903-758-9353
Fax Number
903-758-9153
person
Provider Business Mailing Address Details
Address
2016 S High St
City
Longview
State
Texas
Zip
75602-3248
Phone Number
903-758-9353
Fax Number
903-758-9153
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
118658 (Texas)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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