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Eugene S Bonds JR.
Intellectual Disabilities Intermediate Care Facility in Lubbock, Texas
NPI 1932512043

Eugene S Bonds JR. is a Intellectual Disabilities Intermediate Care Facility based in Lubbock, TX. Eugene S Bonds JR. practices in Lubbock, TX. The NPI Number for Eugene S Bonds JR. is 1932512043 and holds a License No. 007350 (Texas).

The current practice location address for Eugene S Bonds JR. is 5322 22Nd St, Lubbock, TX and can be reached out via phone at 806-543-0488 and via fax at 866-419-7167.

Location: 5322 22Nd St, Lubbock, TX, 79490-6285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932512043
Provider Name
Eugene S Bonds JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
5322 22Nd St, Lubbock, TX, 79490-6285
Phone Number
806-543-0488
Fax Number
866-419-7167
Provider Enumeration Date
06/05/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007350 05 TX
institution
Provider Business Practice Location Address Details
Address
5322 22Nd St
City
Lubbock
State
Texas
Zip
79407-2117
Phone Number
806-543-0488
Fax Number
866-419-7167
person
Provider Business Mailing Address Details
Address
5322 22Nd St
City
Lubbock
State
Texas
Zip
79407-2117
Phone Number
806-543-0488
Fax Number
866-419-7167
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
007350 (Texas)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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