1350 E. Lookout Drive Operations LLC
NPI #1295129146 in Richardson, Texas
Provider Information
- NPI Number
- 1295129146
- Entity Type
- Organization
- Organization Name
- 1350 E. Lookout Drive Operations LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GENESIS TX HOLDINGS LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 27, 2015
- Last Updated
- Oct 24, 2017
Practice Location
- Address
- 1350 E LOOKOUT DR
- City
- Richardson
- State
- Texas
- ZIP Code
- 75082-4106
- Phone
- (972) 220-2000
Authorized Official
- Name
- MICHAEL T. BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4752
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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