New Horizons Legacy

NPI 1386036192 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1386036192
Enumeration Date 03/03/2015
Last Updated 03/03/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name STEVE STEVE
Position MANAGING MEMBER
Phone (903) 832-0429
Fax (903) 255-0385
Practice Location
4939 ELIZABETH ST
TEXARKANA TX, 75503-2911, US
Phone (903) 832-0429
Fax (903) 255-0385
Business Location
4939 ELIZABETH ST
TEXARKANA TX, 75503-2911, US
Phone (903) 832-0429
Fax (903) 255-0385
Toxanomy
Taxonomy Code 315P00000X
License State
License Number
Remove 1386036192 NPI Number
 

According to our database, New Horizons Legacy NPI is 1386036192, taxonomy code is 315P00000X New Horizons Legacy physically located at 4939 Elizabeth St, Texarkana TX, 75503-2911. NPI Number 1033115704 has the healthcare provider type.

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1386036192 NPI number is provided on an as is basis without warranty of any kind. 1386036192 is maintained by the National Plan & Provider Enumeration System. The contents of New Horizons Legacy are for informational purposes only.