Organization
THI OF TEXAS AT LUBBOCK II, LLC
Active
Other names
Southwest Regional Skilled Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HERREN (PRESIDENT)
(806) 767-9133
Entity
Organization
Contact information
Practice address
1401 9TH STREET, LUBBOCK, TX 79401
(806) 767-9133
(806) 767-9033
Mailing address
920 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012469
—
TX
Enumeration date
10/11/2006
Last updated
09/23/2011
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