LS Vernon Operator LLC
Organization Active NPI Skilled Nursing Facility · Mount Vernon, TX
NPI 1821553595 · NPPES record last updated Oct 9, 2020
Key facts
- NPI
- 1821553595
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- LS VERNON OPERATOR LLC
- Practice address
- 501 Yates St
Mount Vernon, TX 75457-3233 - Phone
- (903) 537-4424
- Fax
- (903) 537-3427
- 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
501 Yates St
Mount Vernon, TX 75457-3233
Mailing address
501 Yates St
Mount Vernon, TX 75457-3233
Phone (903) 537-4424
Other names
- Willow Creek Healthcare Centre
Other providers in Mount Vernon, TX
- Lance M Potter PLLC
- Jean Woel Latortue
- Madilyne Marie Logan
- Karolena Lopez-Prado
- Mason Lowery
- Jeffrey Wayne Mannis
- Brianna Martinez Melendez
- McKenna Medders
- Medicine Chest Medical Supply, Inc.
- Medlife Pharmacy
All providers in Mount Vernon, 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.