Organization
LAVISTA OPERATING COMPANY LLC
Active
Other names
Bentley Square
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
3884 LAVISTA RD, TUCKER, GA 30084-5199
(770) 938-7260
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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