# SLP LAPORTE LLC

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

## Provider details

- **NPI number:** 1912931015
- **Authorized official:** JOSHUA LEONARD (PRESIDENT/COO)
- **Authorized official phone:** (817) 410-7300

## Contact information

- **Practice address:** 208 S UTAH ST, LA PORTE, TX 77571-5555
- **Practice address phone:** (281) 471-1810
- **Practice address fax:** (281) 471-8809
- **Mailing address:** 1300 S UNIVERSITY DR, SUITE 306, FORT WORTH, TX 76107-5737
- **Mailing address phone:** (817) 410-7300
- **Mailing address fax:** (817) 423-6270

## Taxonomy

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

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 10/18/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001028656 | — | TX |
| 01 | — | 004145 | FACILITY ID NO. | TX |
