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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 STE 204, LONGVIEW, TX 75604-2934
(903) 297-9300
(903) 297-7020
Mailing address
911 W LOOP 281 STE 204, LONGVIEW, TX 75604-2934
(903) 297-9300
(903) 297-7020
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
003475
TX
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135252
GENTIVA HOME HEALTH
TX
01
—
5123325
AETNA HOME HEALTH
TX
01
—
HH168H
BLUE CROSS HOME HEALTH
TX
Enumeration date
07/29/2006
Last updated
06/12/2024
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