Organization
4C2W, LLC
Active
Other names
Comfort Keepers #767
Organization subpart
No
Provider details
NPI number
Authorized official
FELISA CARSON RN (ADMINISTRATOR/OWNER)
(806) 687-7800
Entity
Organization
Contact information
Practice address
3133 EXECUTIVE DR, SAN ANGELO, TX 76904-6801
(325) 949-0700
(325) 949-0778
Mailing address
8207 HUDSON AVE, SUITE C, LUBBOCK, TX 79423-2805
(806) 687-7800
(806) 745-4559
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
012503
TX
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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