Meadow Lake, LLC

NPI #1205572641 in Tyler, Texas

Provider Information

NPI Number
1205572641
Entity Type
Organization
Organization Name
Meadow Lake, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 9, 2022
Last Updated
Jun 30, 2023

Practice Location

Address
16044 COUNTY ROAD 165
City
Tyler
State
Texas
ZIP Code
75703-7302
Phone
(903) 526-5599

Authorized Official

Name
NICHOLAS HARSHFIELD
Title
VICE PRESIDENT & CFO
Phone
(515) 288-5805

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility
Skilled Nursing Facility

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