Organization · Type 2 NPI
Pecan Ridge Living Center Ltd
Mental Illness Intermediate Care Facility · Waco, TX
NPI number
1891786638
Active
Practice location
1916 Seley Ave
Waco, TX 76704-2057
Fax (254) 799-5340
Mailing address
845 Proton Rd
San Antonio, TX 78258-4203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Intermediate Care Facility Primary | 310500000X | 003799 (TX) |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
About NPI 1891786638
Pecan Ridge Living Center Ltd's National Provider Identifier is 1891786638, issued on Nov 1, 2005. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Waco, TX. The record was last updated on Jun 17, 2008.