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Organization

LONG TERM CARE OF TEXAS, INC.

Active
Other names
LAKE VILLAGE NURSING & REHAB
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE ROBERTS RN (CORPORATE OFFICER)
(972) 436-7571
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
113275
TX

Other

Enumeration date
01/17/2006
Last updated
08/22/2020
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