Organization
COENANT HEALTH SYSTEM
Active
Other names
COVENANT HOME HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM MATANI (CONTROLLER)
(806) 725-8691
Entity
Organization
Contact information
Practice address
4709 66TH ST, LUBBOCK, TX 79414-4841
(806) 725-8400
(806) 725-8463
Mailing address
4709 66TH ST, LUBBOCK, TX 79414-4841
(806) 725-8400
(806) 725-8463
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
006945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012807601
—
TX
05
—
121228403
—
TX
Enumeration date
10/17/2005
Last updated
08/04/2008
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