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Organization
PROVIDER HEALTHCARE SERVICES OF CONCHO LP
Active
Organization
PROVIDER HEALTHCARE SERVICES OF CONCHO LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRVIN DOUGLAS STRECKERT (ADMINISTRATOR)
(325) 869-5531
Entity
Organization
Contact information
Practice address
613 EAKER ST, EDEN, TX 76837
(325) 869-5531
(325) 869-5152
Mailing address
PO BOX 838, 613 EAKER ST, EDEN, TX 76837-0838
(325) 869-5531
(325) 869-5152
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
113535
TX
Other
Enumeration date
08/11/2005
Last updated
08/22/2020
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