| |
6428 S General Bruce Dr Ste A, Temple, TX 76502-5809 | |
(254) 771-4131 | |
(254) 771-0752 |
Full Name | |
---|---|
Type | Facility |
Speciality | Home Health |
Location | 6428 S General Bruce Dr Ste A, Temple, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013507557 | NPI | - | NPPES |
45D2151156 | Other | CLIA | |
199925201 | Medicaid | TX | |
011575 | Other | TX | STATE OPERATOR LICENSE # |
Mailing Address | Practice Location Address |
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3223 S Loop 289 Ste 210, Lubbock, TX 79423-1352 Ph: (806) 771-0588 | 6428 S General Bruce Dr Ste A, Temple, TX 76502-5809 Ph: (254) 771-4131 |