Pecan Ridge Living Center Ltd in Waco - Intermediate Care Facility, Mental Illness
Pecan Ridge Living Center Ltd - NPI 1891786638
Pecan Ridge Living Center Ltd is a Intermediate Care Facility, Mental Illness in Waco, Texas. Pecan Ridge Living Center Ltd practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Pecan Ridge Living Center Ltd is 1891786638. The last update date is 2008-06-17.
Pecan Ridge Living Center Ltd's current location address is 1916 Seley Ave, Waco, Texas. You can contact this provider via phone number 2547996291 and fax number 2547995340. The mailing address for Pecan Ridge Living Center Ltd is 1916 Seley Ave, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pecan Ridge Living Center Ltd |
|---|---|
| Address | 1916 Seley Ave, Waco, Texas |
| Phone Number | 2547996291 |
| Fax Number | 2547995340 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Hawker Mike |
| Telephone Number | 2103407155 |
NPI Number Detail
| NPI Number | 1891786638 |
|---|---|
| Provider Enumeration Date | 2005-11-01 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 1916 Seley Ave |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 767042057 |
| Phone Number | 2547996291 |
| Fax Number | 2547995340 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
| Licence No | 3799 |
|
Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1012117 | TX | -- |
Post Comment/ Review Below
What is the Pecan Ridge Living Center Ltd's 1891786638?
The Pecan Ridge Living Center Ltd's NPI (National Provider Identifier) Number is 1891786638. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Pecan Ridge Living Center Ltd is physically located?
The Pecan Ridge Living Center Ltd is physically situated at the following address: 1916 Seley Ave, Waco, TX, 767042057.
What is Pecan Ridge Living Center Ltd's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pecan Ridge Living Center Ltd's specialized field of practice is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 310500000X.
On what date did Pecan Ridge Living Center Ltd receive its 1891786638 assignment from the Centers for Medicare & Medicaid Services?
The Pecan Ridge Living Center Ltd was assigned its 1891786638 on 2005-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Pecan Ridge Living Center Ltd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pecan Ridge Living Center Ltd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-17.
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