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Organization
LS QUITMAN OPERATOR LLC
Active
Organization
LS QUITMAN OPERATOR LLC
Active
Other names
Heritage House Healthcare Centre
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LAZAR (AUTHORIZED REPRESENTATIVE)
(323) 651-1808
Entity
Organization
Contact information
Practice address
1026 E GOODE ST, QUITMAN, TX 75783-1641
(903) 763-2284
Mailing address
1026 E GOODE ST, QUITMAN, TX 75783-1641
(903) 763-2284
(903) 763-4301
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
10/09/2020
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