Organization
LAKE COUNTRY HEALTHCARE, LLC
Active
Other names
Green Acres
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEMONS LNFA (ADMINISTRATOR)
(903) 473-3752
Entity
Organization
Contact information
Practice address
983 N HIGHWAY 19 (TEXAS STREET), EMORY, TX 75440-0040
(903) 473-3752
(903) 473-3141
Mailing address
PO BOX 40, EMORY, TX 75440-0040
(903) 473-3752
(903) 473-3141
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
03/27/2007
Last updated
10/24/2007
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