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45D1070764 CLIA NUMBER - 27 HHA, INC DBA LIFECARE HOME CARE WICHITA FALLS

Laboratory Demographics

CLIA Number: 45D1070764

Facility Name: 27 HHA, INC DBA LIFECARE HOME CARE WICHITA FALLS

Facility Address:
900 8TH ST SUITE 425
WICHITA FALLS, TX
ZIP 76301
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Facility Phone Number: 940 696-8004

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1114092947

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 45D1070764
LAB Type Home Health Agency
Facility Name 27 HHA, INC DBA LIFECARE HOME CARE WICHITA FALLS
Street 900 8TH ST SUITE 425
City WICHITA FALLS
State TX
ZIP 76301
Phone 940 696-8004
CertificateType 4
CertificateEffectiveDate 7/9/2023
CertificateExpirationDate 7/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024