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Organization

LUMEN CARES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REGINA OKAFOR RN (OWNER)
(512) 350-3616
Entity
Organization

Contact information

Practice address
13900 ABRAHAM LINCOLN ST, MANOR, TX 78653-2196
(512) 350-3616
Mailing address
5473 BLAIR RD STE 100, PMB 104566, DALLAS, TX 75231-4227
(512) 350-3616

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)

Other

Enumeration date
03/27/2025
Last updated
03/27/2025
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