LS Quitman Operator LLC
Organization Active NPI Skilled Nursing Facility · Quitman, TX
NPI 1780149401 · NPPES record last updated Oct 9, 2020
Key facts
- NPI
- 1780149401
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- LS QUITMAN OPERATOR LLC
- Practice address
- 1026 E Goode St
Quitman, TX 75783-1641 - Phone
- (903) 763-2284
- NPI assigned
- Feb 6, 2019
- Organization subpart
- No
Authorized official
- Name
- Mark Lazar
- Title
- Authorized Representative
- Phone
- (323) 651-1808
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1026 E Goode St
Quitman, TX 75783-1641
Mailing address
1026 E Goode St
Quitman, TX 75783-1641
Phone (903) 763-2284
Other names
- Heritage House Healthcare Centre
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- James Ebbert Marvel
- Sarah McCutcheon
- Valerie Esther McWhorter
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All providers in Quitman, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.