Organization · Type 2 NPI
Lavern Washington Humphries
Pediatric Skilled Nursing Facility · Temple, TX
NPI number
1154728590
Active
Practice location
8521 Sage Meadow Dr
Temple, TX 76502-5041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 836362 (TX) |
Pediatric Skilled Nursing Facility: 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.
About NPI 1154728590
Lavern Washington Humphries's National Provider Identifier is 1154728590, issued on Dec 1, 2014. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Temple, TX. The record was last updated on Dec 1, 2014.