Convacare INC
Skilled Nursing Facility in Lubbock, TX. Organization (NPI-2).
NPI number1821091968
StatusActive
Last updated in NPPESApr 29, 2010
Details
- NPI
- 1821091968
- Entity type
- Organization (NPI-2)
- Legal business name
- Convacare INC
- Organization subpart
- No
- Enumeration date
- May 23, 2005
- Last updated
- Apr 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 109070 | TX | Yes |
Other names
- Lakeridge Rehabliltation And Nursing Center (Doing Business As)
Practice location
4403 74th StLubbock, TX 79424-2307
Phone 806-795-0668 · Fax 806-795-4250
Mailing address
4403 74th StLubbock, TX 79424-2307
Phone 806-795-0668 · Fax 806-795-4250
Authorized official
Richard Ruble
President
8067807000
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All 33 Skilled Nursing Facility providers in Lubbock · All 7,272 providers in Lubbock
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