# LONESTAR VALLEY HEALTHCARE, 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407493232
- **Authorized official:** MARK HANCOCK (VICE PRESIDENT/CFO)
- **Authorized official phone:** (801) 447-9829

## Contact information

- **Practice address:** 901 WILDROSE LN, BROWNSVILLE, TX 78520-8816
- **Practice address phone:** (956) 546-4568
- **Mailing address:** 140 N UNION AVE STE 320, FARMINGTON, UT 84025-2956
- **Mailing address phone:** (801) 447-9829

## Taxonomy

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

## Other

- **Enumeration date:** 11/27/2019
- **Last updated:** 11/27/2019