Ls Vernon Operator LLC

NPI #1821553595 in Mount Vernon, Texas

Provider Information

NPI Number
1821553595
Entity Type
Organization
Organization Name
Ls Vernon Operator LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 6, 2019
Last Updated
Oct 9, 2020

Practice Location

Address
501 YATES ST
State
Texas
ZIP Code
75457-3233
Phone
(903) 537-4424

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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