Organization
LS MINEOLA OPERATOR LLC
Active
Other names
Mineola Heights Healthcare Centre
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LAZAR (AUTHORIZED REPRESENTATIVE)
(323) 651-1808
Entity
Organization
Contact information
Practice address
716 MIMOSA DR, MINEOLA, TX 75773-2612
(903) 569-5366
Mailing address
716 MIMOSA DR, MINEOLA, TX 75773-2612
(903) 569-5366
(903) 569-9050
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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