Provider Demographics
NPI:1235467457
Name:SWEET EMBRACE ASSISTED LIVING INC.
Entity Type:Organization
Organization Name:SWEET EMBRACE ASSISTED LIVING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIO
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:806-746-6199
Mailing Address - Street 1:602 FM 1294
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79403-6735
Mailing Address - Country:US
Mailing Address - Phone:806-746-6199
Mailing Address - Fax:806-723-6301
Practice Address - Street 1:602 FM 1294
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79403-6735
Practice Address - Country:US
Practice Address - Phone:806-746-6199
Practice Address - Fax:806-723-6301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-28
Last Update Date:2009-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility