Organization · Type 2 NPI
Language Reasource Center
Intellectual Disabilities Intermediate Care Facility · Southlake, TX
NPI number
1417147000
Active
Practice location
2900 Brookwood Ln
Southlake, TX 76092-5547
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 | 000727602 (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 Southlake
About NPI 1417147000
Language Reasource Center's National Provider Identifier is 1417147000, issued on Jul 30, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Southlake, TX. The record was last updated on Jul 30, 2007.