Gulf Bend Mhmr Center Icf/mr

NPI 1437189487 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1437189487
Enumeration Date 07/04/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DONALD L DONALD
Position EXECUTIVE DIRECTOR
Phone (361) 575-0611
Fax (361) 582-2329
Practice Location
902 BELLEVUE ST
VICTORIA TX, 77904-1424, US
Phone (361) 575-0611
Fax (361) 582-2329
Business Location
1502 E AIRLINE RD
SUITE 25
VICTORIA TX, 77901-4112, US
Phone (361) 575-0611
Fax (361) 582-2329
Toxanomy
Taxonomy Code 320600000X
License State
License Number
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According to our database, Gulf Bend Mhmr Center Icf/mr NPI is 1437189487, taxonomy code is 320600000X Gulf Bend Mhmr Center Icf/mr physically located at 902 Bellevue St, Victoria TX, 77904-1424. NPI Number 1033115704 has the healthcare provider type.

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1437189487 NPI number is provided on an as is basis without warranty of any kind. 1437189487 is maintained by the National Plan & Provider Enumeration System. The contents of Gulf Bend Mhmr Center Icf/mr are for informational purposes only.