Organization
CONCHO VALLEY HHC OF WEST TX LLC
Active
Other names
Concho Valley Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUISE TOWNSEND (ADMINISTRATOR)
(325) 944-8916
Entity
Organization
Contact information
Practice address
430 W BEAUREGARD AVE STE B, SAN ANGELO, TX 76903
(235) 944-8916
(325) 944-8929
Mailing address
PO BOX 3247, SAN ANGELO, TX 76902-3247
(235) 944-8916
(325) 944-8929
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008619
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008619
STATE LICENSE NUMBER
TX
Enumeration date
07/06/2006
Last updated
08/14/2018
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