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Organization

COMMUNITY LIFESTYLE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AUSTIN FARRELL MARTIN (OWNER/ MANAGER)
(806) 241-0998
Entity
Organization

Contact information

Practice address
2912 68TH ST, LUBBOCK, TX 79413-6312
(806) 241-0998
Mailing address
PO BOX 529, LUBBOCK, TX 79408-0529
(806) 241-0998

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
311ZA0620X
Adult Care Home Facility

Other

Enumeration date
06/27/2015
Last updated
07/10/2015
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