Organization
LAYOLA HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHORUNKE (ADMINISTRATOR)
(817) 323-9981
Entity
Organization
Contact information
Practice address
2306 MONTEGO DR, ARLINGTON, TX 76002-4007
(817) 323-9981
(972) 264-5540
Mailing address
2306 MONTEGO DR, ARLINGTON, TX 76002-4007
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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