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  • 675438
CCN: 675438 NPI: 1609997279 Organization

LAKESHORE VILLAGE NURSING AND REHABILITATION

2320 LAKE SHORE DR
WACO, TX 767081276

Contact Information

  • Phone 2547521075
  • Enumeration Date 2007-04-02
  • Last Updated 2025-06-15

Taxonomies

  • Code: 314000000X (Primary) License State: TX License: 118078

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 47380
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9819661814
censusDivision 7
cbsaActualGeographicLocation 47380
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9802564842
censusDivision 7
cbsaActualGeographicLocation 47380
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9802538758
censusDivision 7
cbsaActualGeographicLocation 47380
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 47380
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.992
censusDivision 7
cbsaActualGeographicLocation 47380
providerType 38
caseMixIndex 1.0
vbpAdjustment 1.0049421979
censusDivision 7
cbsaActualGeographicLocation 47380
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9807657143
censusDivision 7
cbsaActualGeographicLocation 47380
providerType 38
caseMixIndex 1.0
vbpAdjustment 0.9895876103

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 47380
providerType 38
specialPaymentIndicator
carrierCode 04912
localityCode 99
cbsaActualGeographicLocation 47380
providerType 38
specialPaymentIndicator
carrierCode 04912
localityCode 99
cbsaActualGeographicLocation 47380
providerType 38
specialPaymentIndicator
carrierCode 04912
localityCode 99

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