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SOUTHERN WELLS HEALTH CARE LLC. NPI 1497456610


NPI Information

NPI: 1497456610
Provider Name: SOUTHERN WELLS HEALTH CARE, LLC.
Classification: Technician - 3747A0650X
Entity Type: Organization

Specialization: Attendant Care Provider

Address:
6718 86TH ST
LUBBOCK, TX
ZIP 79424
Phone: (774) 253-6050
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SOUTHERN WELLS HEALTH CARE, LLC. is an attendant care provider technician in Lubbock, TX. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. SOUTHERN WELLS HEALTH CARE, LLC. NPI is 1497456610. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6718 86TH ST
LUBBOCK, TX
ZIP 79424-775
Phone: (774) 253-6050

The provider's authorized official is Mac E Amokwaw .
The authorized official title is Owner and has the following contact phone number (774) 253-6050.

The enumeration date for this NPI number is 3/14/2023 and was last updated on 3/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13747A0650XTechnicianAttendant Care ProviderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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