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Organization
SOUTH PLAINS COMMUNITY ACTION ASSOCIATION, INC.
Active
Organization
SOUTH PLAINS COMMUNITY ACTION ASSOCIATION, INC.
Active
Other names
Community Action Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J MADDOX RN (ADMINISTRATOR)
(806) 620-9857
Entity
Organization
Contact information
Practice address
410 HOUSTON ST, LEVELLAND, TX 79336
(806) 894-7872
(806) 894-1621
Mailing address
PO BOX 610, LEVELLAND, TX 79336-0610
(806) 894-6104
(806) 894-1621
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
006657
TX
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000021100
—
TX
Enumeration date
12/28/2006
Last updated
01/31/2024
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