Organization · Type 2 NPI
Champagne House
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lindale, TX
Practice location
303 Mount Sylvan St
Lindale, TX 75771-6235
Fax (903) 882-1627
Mailing address
PO Box 1749
Lindale, TX 75771-1749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Lindale
About NPI 1013056431
Champagne House's National Provider Identifier is 1013056431, issued on Feb 5, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lindale, TX. The record was last updated on Aug 22, 2020.