Provider Demographics
NPI:1851525794
Name:LAKEVIEW HOME COMPANION CARE,LLC
Entity Type:Organization
Organization Name:LAKEVIEW HOME COMPANION CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALIA
Authorized Official - Middle Name:ILAGAN
Authorized Official - Last Name:MAGHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-880-1034
Mailing Address - Street 1:356 PLEASURE LAND RD
Mailing Address - Street 2:
Mailing Address - City:GUN BARREL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75156-5244
Mailing Address - Country:US
Mailing Address - Phone:903-880-1034
Mailing Address - Fax:903-880-1034
Practice Address - Street 1:356 PLEASURE LAND RD
Practice Address - Street 2:
Practice Address - City:GUN BARREL CITY
Practice Address - State:TX
Practice Address - Zip Code:75156-5244
Practice Address - Country:US
Practice Address - Phone:903-880-1034
Practice Address - Fax:903-880-1034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care