Organization · Type 2 NPI
Mainstream Habilitation Services of Texas, Inc.
Intellectual Disabilities Intermediate Care Facility · Lakeside, TX
NPI number
1679531503
Active
Practice location
717 Mountain Ridge Ct W
Lakeside, TX 76135-4925
Fax (817) 238-9606
Mailing address
PO Box 1677, 1728 Pease Street
Vernon, TX 76385-1677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 116454 (TX) |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 116728 (TX) |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 116726 (TX) |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 112011 (TX) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1679531503
Mainstream Habilitation Services of Texas, Inc.'s National Provider Identifier is 1679531503, issued on May 2, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lakeside, TX. The record was last updated on Aug 22, 2020.