Organization
SOUTHERN WELLS HEALTH CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAC E AMOKWAW (OWNER)
(774) 253-6050
Entity
Organization
Contact information
Practice address
6718 86TH ST, LUBBOCK, TX 79424-4775
(774) 253-6050
Mailing address
6718 86TH ST, LUBBOCK, TX 79424-4775
(774) 253-6050
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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