# 1350 E. LOOKOUT DRIVE OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GENESIS TX HOLDINGS LLC
- **Other names:** PowerBack Rehabilitation Richardson
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295129146
- **Legal business name:** GENESIS TX HOLDINGS LLC
- **Authorized official:** MICHAEL T. BERG (ASSISTANT SECRETARY)
- **Authorized official phone:** (505) 468-4752

## Contact information

- **Practice address:** 1350 E LOOKOUT DR, RICHARDSON, TX 75082-4106
- **Practice address phone:** (972) 220-2000
- **Mailing address:** 1350 E LOOKOUT DR, RICHARDSON, TX 75082-4106
- **Mailing address phone:** (972) 220-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 145038 | TX | Yes |

## Other

- **Enumeration date:** 03/27/2015
- **Last updated:** 10/24/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001026954 | — | TX |