Lake Country Healthcare, LLC

Organization Active NPI Skilled Nursing Facility · Emory, TX

NPI 1164540928 · NPPES record last updated Oct 24, 2007

Key facts

NPI
1164540928
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
LAKE COUNTRY HEALTHCARE, LLC
Practice address
983 N Highway 19 (Texas Street)
Emory, TX 75440-0040
Phone
(903) 473-3752
Fax
(903) 473-3141
NPI assigned
Mar 27, 2007
Organization subpart
No

Authorized official

Name
David Lemons, LNFA
Title
Administrator
Phone
(903) 473-3752

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X TX Yes

Addresses

Primary practice location

983 N Highway 19 (Texas Street)
Emory, TX 75440-0040

Mailing address

PO Box 40
Emory, TX 75440-0040
Phone (903) 473-3752

Other names

  • Green Acres Doing business as

Other providers in Emory, TX

All providers in Emory, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.