MR. WILLIE EDWARD BOYD NPI 1912109067

NPI Information

NPI: 1912109067
Provider Name: MR. WILLIE EDWARD BOYD
Classification: Assisted Living Facility - 310400000X
Entity Type: Individual
Address:
315 EAST CLIFFWOOD
LONGVIEW, TX
ZIP 75603
Phone: (903) 643-2129
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MR. Willie Edward Boyd is an assisted living facility in Longview, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MR. Willie Edward Boyd NPI is 1912109067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

315 EAST CLIFFWOOD
LONGVIEW, TX
ZIP 75603
Phone: (903) 643-2129
Fax: (903) 643-0307

The enumeration date for this NPI number is 6/1/2007 and was last updated on 12/29/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility			TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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