Organization
4C2W, LLC
Active
Other names
Comfort Keepers #767
Organization subpart
No
Provider details
NPI number
Authorized official
FELISA CARSON RN, BSN, CCM (OWNER)
(806) 687-7800
Entity
Organization
Contact information
Practice address
2517 74TH ST, LUBBOCK, TX 79423-1405
(806) 687-7800
(806) 745-4559
Mailing address
3121 EXECUTIVE DR, SAN ANGELO, TX 76904-6801
(325) 949-0700
(325) 949-0778
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
012503
TX
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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