Ls Mineola Operator LLC

NPI #1053876771 in Mineola, Texas

Provider Information

NPI Number
1053876771
Entity Type
Organization
Organization Name
Ls Mineola Operator LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 6, 2019
Last Updated
Oct 9, 2020

Practice Location

Address
716 MIMOSA DR
State
Texas
ZIP Code
75773-2612
Phone
(903) 569-5366

Authorized Official

Name
MARK LAZAR
Title
AUTHORIZED REPRESENTATIVE
Phone
(323) 651-1808

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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