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NPI Code Detail

MEDICARE: LAKE ARLINGTON HOLDING COMPANY

MEDICARE: LAKE ARLINGTON HOLDING COMPANY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number : 1558589903
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKE ARLINGTON HOLDING COMPANY
Provider Business Mailing Address
First Line : 6702 W POLY WEBB RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76016-3615
Country : US
Telephone Number : 817-478-0095
Fax Number : 817-478-7628
Provider Business Practice Location Address
First Line : 6702 W POLY WEBB RD
Second Line :
City : ARLINGTON
State : TX
Zip : 76016-3615
Country : US
Telephone Number : 817-478-0095
Fax Number : 817-478-7628
Authorized Official
Title or Position : ADMIN DIRECTOR
Name : DR. MICHAEL WALKER
Credential : ED.D.
Telephone Number : 817-478-0095
Provider Enumeration Date : 04/23/2007
Last Update Date : 08/22/2020

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Directions to “LAKE ARLINGTON HOLDING COMPANY ” Practice Location

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