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Seventeen Lac Inc.
Home Health Agency in Laredo, Texas
NPI 1396842761

Seventeen Lac Inc. is a Home Health Agency based in Laredo, TX. Seventeen Lac Inc. practices in Laredo, TX. The NPI Number for Seventeen Lac Inc. is 1396842761 and holds a License No. 011500 (Texas).

The current practice location address for Seventeen Lac Inc. is 2412 Jacaman Rd, Laredo, TX and can be reached out via phone at 956-727-1900 and via fax at 956-727-1718. You can also correspond with Seventeen Lac Inc. through the mailing address at PO BOX 450249, LAREDO, TX - 78045-0249 (mailing address contact number: 956-727-1900).

Location: 2412 Jacaman Rd, Laredo, TX, 78045-0249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396842761
Provider Name
Seventeen Lac Inc.
Credential
Provider Entity Type
Organization
Address
2412 Jacaman Rd, Laredo, TX, 78045-0249
Phone Number
956-727-1900
Fax Number
956-727-1718
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74-7295 01 TX MEDICARE CERTIFICATION OR PTAN
institution
Provider Business Practice Location Address Details
Address
2412 Jacaman Rd
City
Laredo
State
Texas
Zip
78041-6229
Phone Number
956-727-1900
Fax Number
956-727-1718
person
Provider Business Mailing Address Details
Address
2412 Jacaman Rd
City
Laredo
State
Texas
Zip
78041-6229
Phone Number
956-727-1900
Fax Number
956-727-1718
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
011500 (Texas)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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