Organization
LONESTAR VALLEY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HANCOCK (VICE PRESIDENT/CFO)
(801) 447-9829
Entity
Organization
Contact information
Practice address
901 WILDROSE LN, BROWNSVILLE, TX 78520-8816
(956) 546-4568
Mailing address
140 N UNION AVE STE 320, FARMINGTON, UT 84025-2956
(801) 447-9829
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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