Organization
CONIFERCARE, INC.
Active
Other names
Denver Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES WAYNE JEWEL (PRESIDENT)
(806) 771-4124
Entity
Organization
Contact information
Practice address
4202 19TH ST, LUBBOCK, TX 79407-2405
(806) 771-4124
(806) 771-4126
Mailing address
4202 19TH ST, LUBBOCK, TX 79407-2405
(806) 771-4124
(806) 771-4126
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
67-5351
TX
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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