Individual
LUCILLE HAYTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 MACARTHUR ST, TYLER, TX 75704-2017
(903) 705-2374
Mailing address
220 MACARTHUR ST, TYLER, TX 75704-2017
(903) 705-2374
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
150115
TX
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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