Ls Quitman Operator LLC

NPI #1780149401 in Quitman, Texas

Provider Information

NPI Number
1780149401
Entity Type
Organization
Organization Name
Ls Quitman Operator LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 6, 2019
Last Updated
Oct 9, 2020

Practice Location

Address
1026 E GOODE ST
State
Texas
ZIP Code
75783-1641
Phone
(903) 763-2284

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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