CONVACARE INC
Skilled Nursing Facility
Lubbock, Texas
Provider NPI: 1821091968
Organization Information:Organization Name: CONVACARE INC
Practice Location:
4403 74TH ST LUBBOCK, TX 79424 US
Tel: 806-795-0668 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4403 74TH ST LUBBOCK, TX 79424 US
Tel: 806-795-0668 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | TX | 109070 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
4942 | TX | 05 | |
171013901 | TX | 05 | |
001001028 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin