Organization · Type 2 NPI
21st Century Living Centers
Intellectual Disabilities Intermediate Care Facility · Southlake, TX
NPI number
1760673164
Active
Practice location
2410 Taylor St
Southlake, TX 76092-3316
Mailing address
2695 Lonesome Dove Rd
Southlake, TX 76092-3223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 000762301 (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 1760673164
21st Century Living Centers's National Provider Identifier is 1760673164, issued on Aug 9, 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 Aug 9, 2007.