# YELLOW RIDGE HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mesquite Post Acute Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588473920
- **Authorized official:** SOON BURNAM (SECRETARY)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 4510 27TH ST, LUBBOCK, TX 79410-1709
- **Practice address phone:** (806) 795-4368
- **Mailing address:** 4510 27TH ST, LUBBOCK, TX 79410-1709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/31/2024
- **Last updated:** 04/07/2025