Texas HHSC regulated location/provider
30TH STREET
ICF/IID regulated location. This record identifies a regulated provider/location at the source grain.
- Regulator
- Texas Health and Human Services Commission (HHSC)
- Provider class
- ICF/IID regulated location
- Texas HHSC Facility ID
- 111842
- TrustHub location identity
TX|HHSC|TX_ICF_IID|111842- Recorded location
- 1711 30TH STREET, LUBBOCK, TX, 79411 · LUBBOCK County
- Facility Licensed, as reported
- YES
- Facility Certified, as reported
- YES
- License number
- 312363
- License effective date
- 2024-10-09
- License expiration date
- 2027-10-09
- Organization linkage
- Not established
- Source update date
- 2026-09-29
- Official source
- Texas HHSC provider directory
Source status and license facts are reported separately. A license number is not a corporate identity or a CMS CCN.
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