Organization
LS QUITMAN OPERATOR LLC
Active
Other names
Heritage House Healthcare Centre
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LAZAR (AUTHORIZED REPRESENTATIVE)
(323) 651-1808
Entity
Organization
Contact information
Practice address
1026 E GOODE ST, QUITMAN, TX 75783-1641
(903) 763-2284
Mailing address
1026 E GOODE ST, QUITMAN, TX 75783-1641
(903) 763-2284
(903) 763-4301
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
10/09/2020
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