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Lavern Washington Humphries
Pediatric Skilled Nursing Facility in Temple, Texas
NPI 1154728590

Lavern Washington Humphries is a Pediatric Skilled Nursing Facility based in Temple, TX and is specialized in Nursing Care, Pediatric. Lavern Washington Humphries practices in Temple, TX. The NPI Number for Lavern Washington Humphries is 1154728590 and holds a License No. 836362 (Texas).

The current practice location address for Lavern Washington Humphries is 8521 Sage Meadow Dr, Temple, TX and can be reached out via phone at 254-931-7140.

Location: 8521 Sage Meadow Dr, Temple, TX, 76502-5041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154728590
Provider Name
Lavern Washington Humphries
Credential
Provider Entity Type
Organization
Address
8521 Sage Meadow Dr, Temple, TX, 76502-5041
Phone Number
254-931-7140
Fax Number
Provider Enumeration Date
12/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8521 Sage Meadow Dr
City
Temple
State
Texas
Zip
76502-5041
Phone Number
254-931-7140
Fax Number
person
Provider Business Mailing Address Details
Address
8521 Sage Meadow Dr
City
Temple
State
Texas
Zip
76502-5041
Phone Number
254-931-7140
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
836362 (Texas)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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