Organization · Type 2 NPI

Health and Human Services Commission

Intellectual Disabilities Intermediate Care Facility · Denton, TX

NPI number 1659464204 Active

Practice location

3980 State School Rd
Denton, TX 76210-8823

Call (940) 591-0342 Map

Fax (940) 591-3300

Mailing address

PO Box 368
Denton, TX 76202-0368

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Psychiatry Physician	2084P0800X	None listed
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	None listed
Nurse Practitioner	363L00000X	None listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

19 other providers at this address

Other intellectual disabilities intermediate care facility providers in Denton

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NPI record

NPI: 1659464204
Entity type: Organization (Type 2)
Issued: Oct 2, 2006
Last updated: Feb 5, 2018
Status: Active

Other names

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Denton State Supported Living Center · other name
Denton State Supported Living Center · other name

Authorized official

Scott Schalchlin
Associate Commissioner
(512) 438-3076

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659464204

Health and Human Services Commission's National Provider Identifier is 1659464204, issued on Oct 2, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Denton, TX. The record was last updated on Feb 5, 2018.