| NPI | 1649363326 |
|---|---|
| Other Name | LUBBOCK STATE SUPPORTED LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | SCOTT SCHALCHLIN Associate Commissioner 512-438-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 213E00000X Podiatrist | |
| 207Q00000X Family Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2018-02-05 |