Lavern Washington Humphries

NPI #1154728590 in Temple, Texas

Provider Information

NPI Number
1154728590
Entity Type
Organization
Organization Name
Lavern Washington Humphries
Primary Specialty
Skilled Nursing Facility - Nursing Care, Pediatric
Enumeration Date
Dec 1, 2014
Last Updated
Dec 1, 2014

Practice Location

Address
8521 SAGE MEADOW DR
City
Temple
State
Texas
ZIP Code
76502-5041
Phone
(254) 931-7140

Authorized Official

Name
LAVERN WASHINGTON HUMPHRIES, NURSING LICENSE
Title
REGISTERED NURSE
Phone
(254) 931-7140

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility - Nursing Care, PediatricNursing Care, Pediatric

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