MEDICARE: CLAIRMONT LONGVIEW, LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	116303	TX

General Provider Information

NPI Number	:	1437125937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLAIRMONT LONGVIEW, LP

Provider Business Mailing Address
First Line	:	3201 N 4TH ST
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75605-5145
Country	:	US
Telephone Number	:	903-236-4291
Fax Number	:	903-236-3875

Provider Business Practice Location Address
First Line	:	3201 N 4TH ST
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75605-5145
Country	:	US
Telephone Number	:	903-236-4291
Fax Number	:	903-236-3875

Authorized Official
Title or Position	:	ACCOUNT RECEIVABLE TRAINER
Name	:	MS. KAREN FLOREZ
Credential	:
Telephone Number	:	903-236-4291

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	04/10/2008

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Directions to “CLAIRMONT LONGVIEW, LP ” Practice Location

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