Willie Edward Boyd in Longview - Assisted Living Facility

Willie Edward Boyd - NPI 1912109067

Willie Edward Boyd is a Assisted Living Facility in Longview, Texas. Willie Edward Boyd practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Willie Edward Boyd is 1912109067. The last update date is 2014-12-29.

Willie Edward Boyd's current location address is 315 East Cliffwood, Longview, Texas. You can contact this provider via phone number 9036432129 and fax number 9036430307. The mailing address for Willie Edward Boyd is 315 East Cliffwood, Longview, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Willie Edward Boyd
Address 315 East Cliffwood, Longview, Texas
Phone Number 9036432129
Fax Number 9036430307
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1912109067
Provider Enumeration Date 2007-06-01
Last Updated Date 2014-12-29

Provider Mailing Address Detail

Address 315 East Cliffwood
City Longview
State Texas (TX)
Post Code 75603
Phone Number 9036432129
Fax Number 9036430307

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
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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FAQs about Willie Edward Boyd

What is the Willie Edward Boyd's unique identification number?

The Willie Edward Boyd has been assigned the NPI (National Provider Identifier) Number 1912109067 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Willie Edward Boyd located?

The Willie Edward Boyd is located at 315 East Cliffwood, Longview, TX 75603.

What is the Willie Edward Boyd's specialty and taxonomy code?

The Willie Edward Boyd's specialty is Assisted Living Facility, and the corresponding taxonomy code is 310400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1912109067 to Willie Edward Boyd?

The Willie Edward Boyd received its 1912109067 assignment from the Centers for Medicare & Medicaid Services on 2007-06-01.

As of what date were the details pertaining to Willie Edward Boyd last refreshed?

The information related to the Willie Edward Boyd, including its address, specialty, and other relevant details, was last updated on 2014-12-29.

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