Organization
MTR MANAGEMENT GROUP LLC
Active
Other names
Bender Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA K HALL (MEMBER)
(806) 795-4368
Entity
Organization
Contact information
Practice address
4510 27TH ST, LUBBOCK, TX 79410-1709
(806) 795-4368
(806) 795-1189
Mailing address
4510 27TH ST, LUBBOCK, TX 79410-1709
(806) 795-4368
(806) 795-1189
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004072
—
TX
Enumeration date
07/21/2015
Last updated
07/21/2015
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