Healthcare Provider Details

I. General information

NPI: 1164648796
Provider Name (Legal Business Name): ALTER CARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3839 GILMER RD
LONGVIEW TX
75604-1132
US

IV. Provider business mailing address

3839 GILMER RD
LONGVIEW TX
75604-1132
US

V. Phone/Fax

Practice location:
  • Phone: 903-295-1237
  • Fax: 903-295-1237
Mailing address:
  • Phone: 903-295-1237
  • Fax: 903-295-1237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: MRS. FAYE SMITH HERRING
Title or Position: PRESIDENT
Credential:
Phone: 903-295-1237