East Texas Community Services For The Developmentally Disabled, Inc.

NPI 1003951922 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1003951922
Enumeration Date 02/20/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name D MICHAEL D
Position PRESIDENT
Phone (409) 886-5950
Fax (409) 886-5587
Practice Location
2204 NORTH 24TH ST
ORANGE TX, 77630-3115, US
Phone (409) 886-5950
Fax (409) 886-5587
Business Location
PO BOX 2185
SILSBEE TX, 77656-2185, US
Phone (409) 385-2626
Fax (409) 385-9304
Toxanomy
Taxonomy Code 315P00000X
License State Texas
License Number 7482
Remove 1003951922 NPI Number
 

According to our database, East Texas Community Services For The Developmentally Disabled, Inc. NPI is 1003951922, taxonomy code is 315P00000X and license number is 7482, license state is located at Texas. East Texas Community Services For The Developmentally Disabled, Inc. physically located at 2204 North 24th St, Orange TX, 77630-3115. NPI Number 1033115704 has the healthcare provider type.

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1003951922 NPI number is provided on an as is basis without warranty of any kind. 1003951922 is maintained by the National Plan & Provider Enumeration System. The contents of East Texas Community Services For The Developmentally Disabled, Inc. are for informational purposes only.