# LAKEWOOD SENIOR LIVING OF HERMANN PARK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174695423
- **Authorized official:** TOM KENT (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (205) 320-7554

## Contact information

- **Practice address:** 5600 CHENEVERT ST, HOUSTON, TX 77004-7228
- **Practice address phone:** (713) 523-6831
- **Mailing address:** 3008 7TH AVE S, BIRMINGHAM, AL 35233-3503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 115753 | TX | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 08/22/2020