Emmanuel Residential Services
Emmanuel Residential Services is a Contractor in Longview, Texas. Registered with an NPI since 2011.
- In the registry since
- 2011
- Specialties on file
- 5
Practice location Address checks out
1328 Heritage Blvd Ste 5Longview, TX 75605-1472
Phone: (903) 260-0412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X |
|---|---|
| Contractor | Taxonomy 171W00000X |
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X |
| Adult Day Care Clinic/Center | Taxonomy 261QA0600X |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
Record details
| NPI number | 1245509504 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | La Tonya Polk — Program Manager · (903) 315-8302 |
| NPI enumerated | December 15, 2011 |
| Last updated in NPPES | April 15, 2026 |
| Certification date | April 15, 2026 |
| Mailing address | 1328 Heritage Blvd Ste 5, Longview, TX 75605-1472 |
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