Organization
LAVERN WASHINGTON HUMPHRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVERN WASHINGTON HUMPHRIES NURSING LICENSE (REGISTERED NURSE)
(254) 931-7140
Entity
Organization
Contact information
Practice address
8521 SAGE MEADOW DR, TEMPLE, TX 76502-5041
(254) 931-7140
Mailing address
8521 SAGE MEADOW DR, TEMPLE, TX 76502-5041
(254) 931-7140
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
836362
TX
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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