Provider Demographics
NPI:1922852870
Name:THE OAKS AT LONGVIEW OPERATING
Entity Type:Organization
Organization Name:THE OAKS AT LONGVIEW OPERATING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:POWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-571-5505
Mailing Address - Street 1:1515 RICE RD
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-3225
Mailing Address - Country:US
Mailing Address - Phone:903-939-9664
Mailing Address - Fax:903-939-0334
Practice Address - Street 1:2104 ALPINE RD
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-3431
Practice Address - Country:US
Practice Address - Phone:903-939-9664
Practice Address - Fax:903-939-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility