Organization
MEADOW LAKE, LLC
Active
Other names
Meadow Lake Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS HARSHFIELD (VICE PRESIDENT & CFO)
(515) 288-5805
Entity
Organization
Contact information
Practice address
16044 COUNTY ROAD 165, TYLER, TX 75703-7302
(903) 526-5599
Mailing address
15601 DALLAS PKWY, ADDISON, TX 75001-3353
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
06/30/2023
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