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Mr. Willie Edward Boyd
Assisted Living Facility in Longview, Texas
NPI 1912109067

Willie Edward Boyd is an Assisted Living Facility based in Longview, TX. Willie Edward Boyd practices in Longview, TX. The NPI Number for Willie Edward Boyd is 1912109067 and holds a License No. (Texas).

The current practice location address for Willie Edward Boyd is 315 East Cliffwood, Longview, TX and can be reached out via phone at 903-643-2129 and via fax at 903-643-0307.

Location: 315 East Cliffwood, Longview, TX, 75603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912109067
Provider Name
Willie Edward Boyd
Credential
Provider Entity Type
Individual
Gender
Male
Address
315 East Cliffwood, Longview, TX, 75603
Phone Number
903-643-2129
Fax Number
903-643-0307
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
315 East Cliffwood
City
Longview
State
Texas
Zip
75603
Phone Number
903-643-2129
Fax Number
903-643-0307
person
Provider Business Mailing Address Details
Address
315 East Cliffwood
City
Longview
State
Texas
Zip
75603
Phone Number
903-643-2129
Fax Number
903-643-0307
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
(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.
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