Provider Demographics
NPI:1588194302
Name:AT LALAS PLACE LLC
Entity type:Organization
Organization Name:AT LALAS PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHANTAL
Authorized Official - Middle Name:MICELLE
Authorized Official - Last Name:TORRAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-240-5628
Mailing Address - Street 1:4713 PARKHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-7577
Mailing Address - Country:US
Mailing Address - Phone:214-212-0068
Mailing Address - Fax:866-740-7952
Practice Address - Street 1:4713 PARKHAVEN DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-7577
Practice Address - Country:US
Practice Address - Phone:214-212-0068
Practice Address - Fax:214-212-0068
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LALA HEALTHCARE SOLUTIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QM3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care