Organization
ANNADALE MANOR, INC
Active
Other names
23rd Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI JENNINGS (ADMINISTRATOR)
(806) 441-7798
Entity
Organization
Contact information
Practice address
10702 COUNTY ROAD 1300, WOLFFORTH, TX 79382-7006
(806) 866-9186
Mailing address
PO BOX 65725, LUBBOCK, TX 79464-5681
(806) 441-7798
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
09/02/2025
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