Organization · Type 2 NPI
Lake Lagos Care LLC
Adult Care Home Facility · Ennis, TX
NPI number
1497244693
Active
Practice location
1416 Country Club Rd
Ennis, TX 75119-2252
Fax (214) 723-5928
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
| Private Vehicle | 347C00000X | None listed |
Adult Care Home Facility: 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.
About NPI 1497244693
Lake Lagos Care LLC's National Provider Identifier is 1497244693, issued on May 3, 2018. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Ennis, TX. The record was last updated on Jun 16, 2018.