Organization · Type 2 NPI
Gulf Bend MRMR Center Icf/mr
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Port Lavaca, TX
Practice location
102 Burnet St
Port Lavaca, TX 77979-2611
Fax (361) 582-2329
Mailing address
1502 E Airline Rd, Suite 25
Victoria, TX 77901-4112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1932139979
Gulf Bend MRMR Center Icf/mr's National Provider Identifier is 1932139979, issued on Jul 4, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Port Lavaca, TX. The record was last updated on Aug 22, 2020.