Organization
LS MESQUITE OPERATOR LLC
Active
Other names
Mesquite Village Healthcare Centre
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LAZAR (AUTHORIZED REPRESENTATIVE)
(323) 651-1808
Entity
Organization
Contact information
Practice address
825 W KEARNEY ST, MESQUITE, TX 75149-3206
(972) 288-7668
(972) 216-7627
Mailing address
825 W KEARNEY ST, MESQUITE, TX 75149-3206
(972) 288-7668
(972) 285-1232
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
10/09/2020
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