Lake Lodge Nursing And Rehabilitation Lp

LBN: Lake Lodge Nursing And Rehabilitation Lp
Lake Lodge Nursing And Rehabilitation Lp is an health care organization with primary practice located at 3800 Marina Dr , Lake Worth TX 76135-2835. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Lake Lodge Nursing And Rehabilitation Lp can be contacted via phone (817) 237-7231, or through Flagg, Dan D. via phone (940) 387-4388.

Contact Information

Primary practice address
3800 Marina Dr Lake Worth TX 76135-2835
Phone: (817) 237-7231
Fax: (817) 237-5086
Website:
Map and Directions
Authorized official contact:
Name: Flagg, Dan D.
Phone: (940) 387-4388

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1497741276
LBN Legal business name Lake Lodge Nursing And Rehabilitation Lp
DBA Doing business as
Authorized official Flagg, Dan D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2005
Last updated Jan 30th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497741276 NPPES
Texas Other 1551632 01 TMHP CROSS OVER
Texas MEDICAID 001004353 TMHP CROSS OVER

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