NPI 1396700423

Tamarack Residential Services

Organisation Mental Illness Intermediate Care Facility Longview, TX

Practice location

Address: 3730 E Loop Dr, Longview, TX 75602-6704
Phone: (903) 753-1979
Fax: (903) 753-7485
Mailing address: 845 Proton Rd, San Antonio, TX 78258-4203

Authorised official

Name: Mike Hawker
Title: Cfo
Phone: (210) 340-7155

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 007599 (TX)

Other Intermediate Care Facility, Mental Illness providers in Texas →

Registry record

NPI: 1396700423
Entity type: Organization
NPI issued: 20 Apr 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.