Professional Home Detox

LBN: Professional Home Detox
Professional Home Detox is an health care organization with primary practice located at 8104 County Road 6500 , Lubbock TX 79416-9557. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Professional Home Detox can be contacted via phone (806) 773-6575, or through Fuller, Courtney Carole via phone (806) 773-6575.

Contact Information

Primary practice address
8104 County Road 6500 Lubbock TX 79416-9557
Phone: (806) 773-6575
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Courtney Carole BSN, RN
Phone: (806) 773-6575

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 671297 Texas

Profile Details

NPI number 1407134448
LBN Legal business name Professional Home Detox
DBA Doing business as
Authorized official Fuller, Courtney Carole BSN, RN
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2011
Last updated Jul 25th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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