LS Vernon Operator LLC
Skilled Nursing Facility · Mount Vernon, TX
Practice location
501 Yates StMount Vernon, TX 75457-3233
- Phone
- (903) 537-4424
- Fax
- (903) 537-3427
NPI record
- NPI
- 1821553595
- Entity type
- Organization (Type 2)
- Enumeration date
- February 6, 2019
- Last updated
- October 9, 2020
- Certified
- October 9, 2020
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X |
— | — |
Authorized official
- Name
- Mark Lazar
- Title
- Authorized Representative
- Phone
- (323) 651-1808
Other names
- Willow Creek Healthcare Centre
About LS Vernon Operator LLC
LS Vernon Operator LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 501 Yates St, Mount Vernon, TX 75457-3233. The NPI number 1821553595 was assigned on February 6, 2019 and the record was last updated on October 9, 2020.
The authorized official for this organization is Mark Lazar, Authorized Representative.
Frequently asked questions
What is the NPI number of LS Vernon Operator LLC?
The NPI number is 1821553595.
What is the phone number of LS Vernon Operator LLC?
The phone number listed for the practice location is (903) 537-4424.
Where is LS Vernon Operator LLC located?
501 Yates St, Mount Vernon, TX 75457-3233.
What is the taxonomy code for LS Vernon Operator LLC?
The primary taxonomy code is 314000000X – Skilled Nursing Facility.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Mount Vernon Healthcare Residence LLC501 Yates St
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