Organization
CC HOME HEALTH LUBBOCK LLC
Active
Other names
CUIDADO CASERO HOME HEALTH LUBBOCK
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN SANTIAGO (CEO)
(817) 310-1100
Entity
Organization
Contact information
Practice address
2118 BROADWAY ST, LUBBOCK, TX 79401-2913
(806) 785-7903
(806) 785-7918
Mailing address
1110 N CARROLL AVE, SOUTHLAKE, TX 76092-5306
(817) 310-1100
(817) 310-1197
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00-7152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455586-01
—
TX
Enumeration date
12/22/2005
Last updated
06/11/2020
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