Organization · Type 2 NPI
Southlake Educational Center
Intellectual Disabilities Intermediate Care Facility · Hurst, TX
NPI number
1356531644
Active
Practice location
649 Circle View South
Hurst, TX 76054-3316
Fax (817) 251-0318
Mailing address
2695 Lonesome Dove Rd
Southlake, TX 76092-3223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 1013303 (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 Hurst
About NPI 1356531644
Southlake Educational Center's National Provider Identifier is 1356531644, issued on Aug 1, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Hurst, TX. The record was last updated on Aug 1, 2007.