Ls Mesquite Operator LLC

NPI #1215492095 in Mesquite, Texas

Provider Information

NPI Number
1215492095
Entity Type
Organization
Organization Name
Ls Mesquite Operator LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 5, 2019
Last Updated
Oct 9, 2020

Practice Location

Address
825 W KEARNEY ST
State
Texas
ZIP Code
75149-3206
Phone
(972) 288-7668

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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