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NPI Code Detail

MEDICARE: LCS-WP LLC

MEDICARE: LCS-WP LLC
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
1310400000XAssisted Living Facility137199TX
2314000000XSkilled Nursing Facility135394TX

General Provider Information

NPI Number : 1811300668
Entity Type Code : Organization
Provider Name (Legal Business Name) : LCS-WP LLC
Provider Business Mailing Address
First Line : 5515 GLEN LAKES DR
Second Line :
City : DALLAS
State : TX
Zip : 75231-4309
Country : US
Telephone Number : 214-361-4782
Fax Number :
Provider Business Practice Location Address
First Line : 5515 GLEN LAKES DR
Second Line :
City : DALLAS
State : TX
Zip : 75231-4309
Country : US
Telephone Number : 214-361-4782
Fax Number :
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : MICHAEL J. ANDREASEN
Credential :
Telephone Number : 515-875-4500
Provider Enumeration Date : 06/10/2014
Last Update Date : 05/16/2024

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Directions to “LCS-WP LLC ” Practice Location

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