# MTR MANAGEMENT GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Bender Terrace
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306221247
- **Authorized official:** MS. AMANDA K HALL (MEMBER)
- **Authorized official phone:** (806) 795-4368

## Contact information

- **Practice address:** 4510 27TH ST, LUBBOCK, TX 79410-1709
- **Practice address phone:** (806) 795-4368
- **Practice address fax:** (806) 795-1189
- **Mailing address:** 4510 27TH ST, LUBBOCK, TX 79410-1709
- **Mailing address phone:** (806) 795-4368
- **Mailing address fax:** (806) 795-1189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | TX | Yes |

## Other

- **Enumeration date:** 07/21/2015
- **Last updated:** 07/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004072 | — | TX |
