Organization
THE LODGE AT MT PLEASANT LLC
Active
Other names
The Lodge Assisted Living & Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEELA SINGAPERUMAL MD (OWNER)
(903) 575-9896
Entity
Organization
Contact information
Practice address
1880 W 16TH ST, MT PLEASANT, TX 75455-2180
(903) 575-9896
(903) 575-9064
Mailing address
1880 W 16TH ST, MT PLEASANT, TX 75455-2180
(903) 575-9896
(903) 575-9064
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
142096
TX
Other
Enumeration date
08/05/2015
Last updated
10/28/2022
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