Organization
CHERRY DENT EATON
Active
Other names
Agnes Dent Homes III
Organization subpart
No
Provider details
NPI number
Authorized official
CHERRY RYAN (ADMINISTRATOR)
(806) 797-9859
Entity
Organization
Contact information
Practice address
5280 34TH ST, LUBBOCK, TX 79407-3524
(806) 797-9859
Mailing address
5280 34TH ST, LUBBOCK, TX 79407-3524
(806) 797-9859
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
111411
TX
Other
Enumeration date
10/27/2006
Last updated
08/22/2020
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