Lucille'S Palace, Llc

LBN: Lucille'S Palace, Llc
Lucille'S Palace, Llc is an health care organization with primary practice located at 3361 Harmon Rd Unit 2110 , Mansfield TX 76063-5764. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Lucille'S Palace, Llc can be contacted via phone (817) 403-8465, or through James, Dara via phone (817) 403-8465.

Contact Information

Primary practice address
3361 Harmon Rd Unit 2110 Mansfield TX 76063-5764
Phone: (817) 403-8465
Fax:
Website:
Map and Directions
Authorized official contact:
Name: James, Dara
Phone: (817) 403-8465

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1851924203
LBN Legal business name Lucille'S Palace, Llc
DBA Doing business as
Authorized official James, Dara
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2020
Last updated Jun 5th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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