Organization · Type 2 NPI
Family Tree
Intellectual Disabilities Intermediate Care Facility · Bryan, TX
NPI number
1144422932
Active
Practice location
408 N Washington Ave
Bryan, TX 77803-5310
Fax (979) 821-9448
Mailing address
1504 Texas Ave., P.o. Box 4588
Bryan, TX 77805-4588
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 7662 (TX) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Bryan
About NPI 1144422932
Family Tree's National Provider Identifier is 1144422932, issued on Jun 4, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Bryan, TX. The record was last updated on Mar 26, 2024.