Individual provider · Type 1 NPI
Eugene S. Bonds Jr.
Intellectual Disabilities Intermediate Care Facility · Lubbock, TX
NPI number
1932512043
Active
Practice location
5322 22nd St
Lubbock, TX 79407-2117
Fax (866) 419-7167
Mailing address
PO Box 16285
Lubbock, TX 79490-6285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 007350 (TX) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
2 other providers at this address
Other intellectual disabilities intermediate care facility providers in Lubbock
About NPI 1932512043
Eugene S. Bonds Jr.'s National Provider Identifier is 1932512043, issued on Jun 5, 2014. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lubbock, TX. The record was last updated on Jun 5, 2014.