Organization
C & C MANAGED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY TURNER (MANAGER)
(432) 634-8149
Entity
Organization
Contact information
Practice address
223 S RESLER DR, EL PASO, TX 79912-4303
(915) 584-9417
Mailing address
2902 BONHAM AVE, ODESSA, TX 79762-7926
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004985
FACILITY ID NUMBER
TX
Enumeration date
02/02/2007
Last updated
08/22/2020
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