Organization
CC HOME HEALTH LUBBOCK, LLC
Active
Organization
CC HOME HEALTH LUBBOCK, LLC
Active
Other names
CUIDADO CASERO HOME HEALTH LUBBOCK
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN SANTIAGO DRPH (CEO)
(817) 310-1100
Entity
Organization
Contact information
Practice address
2118 BROADWAY, 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
251G00000X
Community Based Hospice Care Agency
Primary
007152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007152
STATE LICENSE
TX
Enumeration date
09/24/2007
Last updated
02/01/2023
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