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Organization
LIFECARE HOME NURSING LLC
Active
Organization
LIFECARE HOME NURSING LLC
Active
Other names
LifeCare Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY WILCOX (ADMINISTRATOR & CEO)
(903) 297-9300
Entity
Organization
Contact information
Practice address
911 W LOOP 281, SUITE 204, LONGVIEW, TX 75604-2900
(903) 297-9300
(903) 297-7020
Mailing address
911 W LOOP 281, SUITE 204, LONGVIEW, TX 75604-2900
(903) 297-9300
(903) 297-7020
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
003475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396750253
—
TX
Enumeration date
01/18/2017
Last updated
05/24/2021
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