TAMARACK RESIDENTIAL SERVICES NPI 1457317984

NPI Information

TAMARACK RESIDENTIAL SERVICES is an intermediate care facility mental illness in Longview, TX. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. TAMARACK RESIDENTIAL SERVICES NPI is 1457317984. The provider is registered as an organization entity type.
The provider Other Name Is Young.

The provider's business location address is:

3730 E LOOP DR
LONGVIEW, TX
ZIP 75602-704
Phone: (903) 753-1979
Fax: (903) 753-7485

The provider's authorized official is Mike Hawker .
The authorized official title is Cfo and has the following contact phone number (210) 340-7155.

The enumeration date for this NPI number is 4/24/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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