Organization
ANNADALE MANOR, INC
Active
Parent organization
ANNADALE MANOR, INC
Other names
23rd Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNADALE MANOR, INC
Authorized official
TONI JENNINGS (ADMINISTRATOR)
(806) 441-7798
Entity
Organization
Contact information
Practice address
5423 23RD ST, LUBBOCK, TX 79407-2124
(806) 441-7798
Mailing address
PO BOX 65725, LUBBOCK, TX 79464-5681
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
09/09/2024
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