Et Transitional Living

NPI #1497158216 in Longview, Texas

Provider Information

NPI Number: 1497158216
Entity Type: Organization
Organization Name: Et Transitional Living
Primary Specialty: Home Health
Enumeration Date: Oct 7, 2014
Last Updated: Oct 7, 2014

Practice Location

Address: 503 N 6TH ST
City: Longview
State: Texas
ZIP Code: 75601-6604
Phone: (903) 753-7685

Authorized Official

Name: TROY WAYNE SIMMONS, DDS
Title: PRESIDENT
Phone: (903) 753-7685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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