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Lake Lagos Care Llc
Private Vehicle in Ennis, Texas
NPI 1497244693

Lake Lagos Care Llc is a Private Vehicle based in Ennis, TX. Lake Lagos Care Llc practices in Ennis, TX. The NPI Number for Lake Lagos Care Llc is 1497244693 and holds a License No. (Texas).

The current practice location address for Lake Lagos Care Llc is 1416 Country Club Rd, Ennis, TX and can be reached out via phone at 469-383-4776 and via fax at 214-723-5928.

Location: 1416 Country Club Rd, Ennis, TX, 75119-2252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497244693
Provider Name
Lake Lagos Care Llc
Credential
Provider Entity Type
Organization
Address
1416 Country Club Rd, Ennis, TX, 75119-2252
Phone Number
469-383-4776
Fax Number
214-723-5928
Provider Enumeration Date
05/03/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1416 Country Club Rd
City
Ennis
State
Texas
Zip
75119-2252
Phone Number
469-383-4776
Fax Number
214-723-5928
person
Provider Business Mailing Address Details
Address
1416 Country Club Rd
City
Ennis
State
Texas
Zip
75119-2252
Phone Number
469-383-4776
Fax Number
214-723-5928
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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