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Organization
STATEWIDE HEALTHCARE LLC
Active
Organization
STATEWIDE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKSON ANELECHI IHEOMAMERE M.A (ADMINISTRATOR)
(936) 632-4388
Entity
Organization
Contact information
Practice address
702 ANDREWS AVE, LUFKIN, TX 75901-3302
(936) 632-4388
(936) 632-4389
Mailing address
702 ANDREWS AVE, LUFKIN, TX 75901-3302
(936) 632-4388
(936) 632-4389
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
013933
TX
Other
Enumeration date
12/17/2010
Last updated
10/20/2015
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