# 4C2W, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comfort Keepers \#767
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467904524
- **Authorized official:** FELISA CARSON RN, BSN, CCM (OWNER)
- **Authorized official phone:** (806) 687-7800

## Contact information

- **Practice address:** 2517 74TH ST, LUBBOCK, TX 79423-1405
- **Practice address phone:** (806) 687-7800
- **Practice address fax:** (806) 745-4559
- **Mailing address:** 3121 EXECUTIVE DR, SAN ANGELO, TX 76904-6801
- **Mailing address phone:** (325) 949-0700
- **Mailing address fax:** (325) 949-0778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 012503 | TX | Yes |

## Other

- **Enumeration date:** 10/25/2016
- **Last updated:** 10/25/2016