Willow Bend Center in Longview - Residential Treatment Facility, Emotionally Disturbed Children
Willow Bend Center - NPI 1851458087
Willow Bend Center is a Residential Treatment Facility, Emotionally Disturbed Children in Longview, Texas. Willow Bend Center practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Willow Bend Center is 1851458087. The last update date is 2020-08-22.
Willow Bend Center's current location address is 407 E Marshall Ave, Longview, Texas. You can contact this provider via phone number 9032364577 and fax number 9032360246. The mailing address for Willow Bend Center is 407 E Marshall Ave, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willow Bend Center |
|---|---|
| Address | 407 E Marshall Ave, Longview, Texas |
| Phone Number | 9032364577 |
| Fax Number | 9032360246 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Linton J Barbara |
| Telephone Number | 9032364577 |
NPI Number Detail
| NPI Number | 1851458087 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 407 E Marshall Ave |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756015423 |
| Phone Number | 9032364577 |
| Fax Number | 9032360246 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 849142 |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identification code issued to Willow Bend Center by the Centers for Medicare & Medicaid Services?
The Willow Bend Center has been assigned the NPI (National Provider Identifier) 1851458087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Willow Bend Center?
The Willow Bend Center is situated at 407 E Marshall Ave, in the city of Longview, state of TX, with the zip code 756015423.
What is Willow Bend Center's area of expertise and its corresponding taxonomy classification?
The Willow Bend Center's field of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Willow Bend Center receive the assignment of its 1851458087 from the Centers for Medicare & Medicaid Services?
The Willow Bend Center was issued its 1851458087 by the Centers for Medicare & Medicaid Services on 2007-01-03.
As of what date was the information pertaining to Willow Bend Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Willow Bend Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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