| Organization Name: | HOSPICE OF LUBBOCK |
| NPI Number: | 1700875903 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAM MANTANI (CONTROLLER) |
| Mailing Address: | 1102 Slide Rd Suite 3 Lubbock |
| State: | TX US |
| Postal Code: | 794165401 |
| Phone Number: | 8067952751 |
| Fax Number: | 8067958464 |
| NPI Enumeration Date: | 10/19/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 001878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |