Organization
LEWIS HEALTH CARE FACILITY INC
Active
Other names
Pine Shadow Retreat
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY LEWIS SWABADO (ASSISTANT ADMINISTRATOR)
(281) 354-2155
Entity
Organization
Contact information
Practice address
23450 PINE SHADOW LANE, PORTER, TX 77365-0889
(281) 354-2155
(281) 354-6515
Mailing address
PO BOX 889, PORTER, TX 77365-0889
(281) 354-2155
(281) 354-6515
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
TX
332BN1400X
Nursing Facility Supplies (DME)
Primary
DME00G318
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1072420001
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DME00G318
STATE LICENSE #
TX
Enumeration date
11/10/2005
Last updated
09/11/2025
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