Healthcare Provider Details

I. General information

NPI: 1609904804
Provider Name (Legal Business Name): JF HOSPITALITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1609 W. WAYLON JENNINGS BLVD
LITTLEFIELD TX
79339
US

IV. Provider business mailing address

4208 19TH ST
LUBBOCK TX
79407-2405
US

V. Phone/Fax

Practice location:
  • Phone: 806-385-4544
  • Fax:
Mailing address:
  • Phone: 806-780-7000
  • Fax: 806-780-7400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number116505
License Number StateTX

VIII. Authorized Official

Name: MR. RICHARD MICHAEL RUBLE
Title or Position: PRESIDENT
Credential:
Phone: 806-780-7000