# LCS-AL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Autumn Leaves
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336552157
- **Authorized official:** MR. MICHAEL J. ANDREASEN (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (515) 875-4500

## Contact information

- **Practice address:** 1010 EMERALD ISLE DR, DALLAS, TX 75218-3980
- **Practice address phone:** (214) 319-9184
- **Mailing address:** 1010 EMERALD ISLE DR, DALLAS, TX 75218-3980
- **Mailing address phone:** (214) 319-9184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 138394 | TX | — |
| 314000000X | Skilled Nursing Facility | 137363 | TX | Yes |

## Other

- **Enumeration date:** 06/09/2014
- **Last updated:** 05/16/2024