Statewide Healthcare LLC

NPI #1295038982 in Lufkin, Texas

Provider Information

NPI Number: 1295038982
Entity Type: Organization
Organization Name: Statewide Healthcare LLC
Primary Specialty: Home Health
Enumeration Date: Dec 17, 2010
Last Updated: Oct 20, 2015

Practice Location

Address: 702 ANDREWS AVE
City: Lufkin
State: Texas
ZIP Code: 75901-3302
Phone: (936) 632-4388

Authorized Official

Name: MR. JACKSON ANELECHI IHEOMAMERE, M.A
Title: ADMINISTRATOR
Phone: (936) 632-4388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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