Organization
FMC - LUBBOCK LLC
Active
Other names
BSA Hospice of the Southwest
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN N. RILEY (OWNER/PARTNER)
(806) 356-0026
Entity
Organization
Contact information
Practice address
5211 SW 9TH AVE, AMARILLO, TX 79106-4120
(806) 356-0026
(806) 358-3114
Mailing address
5211 SW 9TH AVE, AMARILLO, TX 79106-4120
(806) 356-0026
(806) 358-3114
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013547
—
TX
01
—
009721
STATE LICENSE
TX
Enumeration date
09/13/2005
Last updated
09/12/2016
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