Organization
EASTLAND MEMORIAL HOSPITAL DISTRICT
Active
Other names
Lake Village Nursing & Rhb Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER OF MANAGEMENT COMPANY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
169 LAKE PARK RD, LEWISVILLE, TX 75057-2303
(972) 436-7571
(972) 221-4187
Mailing address
169 LAKE PARK RD, LEWISVILLE, TX 75057-2303
(972) 436-7571
(972) 221-4187
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
02/13/2007
Last updated
09/08/2022
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