Organization · Type 2 NPI
Walnut Creek Residential Services, Inc.
Intellectual Disabilities Intermediate Care Facility · Mansfield, TX
NPI number
1174734115
Active
Practice location
622 S Walnut Creek Dr
Mansfield, TX 76063-2132
Fax (817) 477-3315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 120445 (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 Mansfield
About NPI 1174734115
Walnut Creek Residential Services, Inc.'s National Provider Identifier is 1174734115, issued on May 24, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Mansfield, TX. The record was last updated on Aug 22, 2020.