Organization Name: | LEWIS HEALTH CARE FACILITY INC |
NPI Number: | 1225019755 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETTY LEWIS SWABADO (ASSISTANT ADMINISTRATOR) |
Mailing Address: | 23450 Pine Shadow Lane Porter |
State: | TX US |
Postal Code: | 773650889 |
Phone Number: | 2813542155 |
Fax Number: | 2813546515 |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BN1400X |
License Number: | DME00G318 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Nursing Facility Supplies |
Taxonomy Definition: |