Provider Healthcare Services of Luling, LLC

NPI #1013914191 in Luling, Texas

Provider Information

NPI Number
1013914191
Entity Type
Organization
Organization Name
Provider Healthcare Services of Luling, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 5, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
1105 N MAGNOLIA AVE
City
Luling
State
Texas
ZIP Code
78648-1604
Phone
(830) 875-5606

Authorized Official

Name
MR. TED MORGAN
Title
AGENT
Phone
(512) 343-9070

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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