OrganizationActive
Annadale Manor, Inc
NPI 1508248998 · Intellectual Disabilities Intermediate Care Facility · Lubbock, TX
Provider details
- NPI number
- 1508248998
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Annadale Manor, Inc
- Organization subpart
- Yes
- Authorized official
- Toni Jennings, Administrator(806) 441-7798
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
5423 23rd St
Lubbock, TX 79407-2124
Phone: (806) 441-7798
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 65725
Lubbock, TX 79464-5681
Other names (DBA / former)
- Doing business as
- 23rd Manor
Registry dates
- Enumerated
- 2015-06-23
- Last updated
- 2024-09-09
- Certified
- 2024-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.