# RUSH AND MIKE WHEELER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** golden age nursing home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629153978
- **Authorized official:** MR. RUSH MIKE WHEELER OWNER (ADM/OWNER)
- **Authorized official phone:** (806) 792-2196

## Contact information

- **Practice address:** 2613 34TH ST, LUBBOCK, TX 79410-3519
- **Practice address phone:** (806) 792-2196
- **Practice address fax:** (806) 792-7740
- **Mailing address:** 2613 34TH ST, LUBBOCK, TX 79410-3519
- **Mailing address phone:** (806) 792-2196
- **Mailing address fax:** (806) 792-7740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 115604 | TX | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 07/21/2022