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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
AMY LYNETTE WILCOX (ADMINISTRATOR)
(903) 297-9300
Entity
Organization
Contact information
Practice address
911 W LOOP 281, SUITE 204, LONGVIEW, TX 75604
(903) 297-9300
(903) 297-7020
Mailing address
911 W LOOP 281, SUITE 204, LONGVIEW, TX 75604
(903) 297-9300
(903) 297-7020
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
003475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001003838
—
TX
01
—
HH018C
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/03/2006
Last updated
05/01/2025
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