Organization
LCS-WP LLC
Active
Other names
Walnut Place
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J. ANDREASEN (SENIOR VICE PRESIDENT)
(515) 875-4500
Entity
Organization
Contact information
Practice address
5515 GLEN LAKES DR, DALLAS, TX 75231-4309
(214) 361-4782
Mailing address
5515 GLEN LAKES DR, DALLAS, TX 75231-4309
(214) 361-4782
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
137199
TX
314000000X
Skilled Nursing Facility
Primary
135394
TX
Other
Enumeration date
06/10/2014
Last updated
05/16/2024
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