Shirley Anderson in Longview - Assisted Living, Mental Illness
Shirley Anderson - NPI 1679793319
Shirley Anderson is a Assisted Living, Mental Illness in Longview, Texas. Shirley Anderson practices all healthcare services and medical treatments related to Assisted Living, Mental Illness. The NPI Number for Shirley Anderson is 1679793319. The last update date is 2019-07-25.
Shirley Anderson's current location address is Po Box 12478, Longview, Texas. You can contact this provider via phone number 9037589353 and fax number 9037589153. The mailing address for Shirley Anderson is Po Box 12478, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shirley Anderson |
|---|---|
| Address | Po Box 12478, Longview, Texas |
| Phone Number | 9037589353 |
| Fax Number | 9037589153 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Meader Frances |
| Telephone Number | 9037589353 |
NPI Number Detail
| NPI Number | 1679793319 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2019-07-25 |
Provider Mailing Address Detail
| Address | Po Box 12478 |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756072478 |
| Phone Number | 9037589353 |
| Fax Number | 9037589153 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Mental Illness |
|---|---|
| Taxonomy | 3104A0625X |
| Licence No | 118658 |
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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 w |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150200 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Shirley Anderson by the Centers for Medicare & Medicaid Services?
The Shirley Anderson has been issued the NPI (National Provider Identifier) 1679793319. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shirley Anderson is physically located?
The Shirley Anderson is situated at the following address: Po Box 12478, Longview, TX 756072478.
What is the Shirley Anderson's specialty and taxonomy code?
The Shirley Anderson's specialty is Assisted Living, Mental Illness, and the corresponding taxonomy code is 3104A0625X.
When did the Shirley Anderson receive its 1679793319?
The Shirley Anderson was issued its 1679793319 on 2007-04-26, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Shirley Anderson last refreshed?
The information related to the Shirley Anderson, including its address, specialty, and other relevant details, was last updated on 2019-07-25.