Organization
L-M-R HEALTH CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD WAYNE PECOT (PRESIDENT)
(903) 295-7391
Entity
Organization
Contact information
Practice address
2912 CLENDENEN, LONGVIEW, TX 75601
(903) 295-7391
(903) 295-7394
Mailing address
112 S WARD DR, LONGVIEW, TX 75604
(903) 295-7391
(903) 295-7394
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0000758701
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000758701
STATE COMPTROLLER
TX
Enumeration date
07/19/2006
Last updated
06/17/2008
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