Individual provider · NPI-1

Eugene S Bonds Jr.

Intermediate Care Facility, Intellectual Disabilities · Lubbock, TX

NPI number1932512043
StatusActive
Last updated in NPPESJun 5, 2014

Details

NPI
1932512043
Entity type
Individual (NPI-1)
Name
Eugene S Bonds Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 5, 2014
Last updated
Jun 5, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
315P00000X Intermediate Care Facility, Intellectual Disabilities007350TXYes

Practice location

5322 22nd St
Lubbock, TX 79407-2117

Phone 806-543-0488 · Fax 866-419-7167

Mailing address

Po Box 16285
Lubbock, TX 79490-6285

Phone 806-543-0488 · Fax 866-419-7167

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