Organization
SOUTH PLAINS COMMUNITY ACTION ASSOCIATION, INC.
Active
Other names
Community Action Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J MADDOX RN (ADMINISTRATOR)
(806) 894-7872
Entity
Organization
Contact information
Practice address
410 HOUSTON ST, LEVELLAND, TX 79336-4044
(806) 894-7872
(806) 894-1621
Mailing address
PO BOX 610, LEVELLAND, TX 79336-0610
(806) 894-6104
(806) 897-0835
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000021100
—
TX
05
—
000652300
—
TX
Enumeration date
12/28/2006
Last updated
04/17/2024
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