West Lake Healthcare Residence Operator LLC

NPI #1063888535 in Mesquite, Texas

Provider Information

NPI Number
1063888535
Entity Type
Organization
Organization Name
West Lake Healthcare Residence Operator LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 19, 2015
Last Updated
Mar 30, 2018

Practice Location

Address
825 W. KEARNEY
State
Texas
ZIP Code
75149-3206
Phone
(972) 288-7688

Authorized Official

Name
JOSEF NEUMAN
Title
MANAGER
Phone
(214) 396-3462

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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