NPI 1427003292

Crosby Community Home INC

Organisation Intellectual Disabilities Intermediate Care Facility Longview, TX

Practice location

Address: 112 S Ward Dr, Longview, TX 75604
Phone: (903) 295-7391
Fax: (903) 295-7395

Authorised official

Name: Howard Wayne Pecot
Title: President
Phone: (903) 295-7391

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 0000753901 (TX)

Other Intermediate Care Facility, Intellectual Disabilities providers in Texas →

Registry record

NPI: 1427003292
Entity type: Organization
NPI issued: 23 May 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.