Organization
JSC LAKE HIGHLANDS OPERATIONS, LP
Active
Other names
Villages of Lake Highlands
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA PIERCE (AUTHORIZED OFFICER)
(972) 899-4401
Entity
Organization
Contact information
Practice address
8615 LULLWATER DR, DALLAS, TX 75238-4754
(214) 221-0444
Mailing address
8615 LULLWATER DR, DALLAS, TX 75238-4754
(214) 221-0444
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
131077
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001018708
—
TX
Enumeration date
10/14/2009
Last updated
08/04/2020
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