Lucius Hodge Alexander Jr in Austin - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Lucius Hodge Alexander Jr - NPI 1043374267

Lucius Hodge Alexander Jr is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Austin, Texas. Lucius Hodge Alexander Jr practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Lucius Hodge Alexander Jr is 1043374267. The last update date is 2020-08-22.

Lucius Hodge Alexander Jr's current location address is 16203 Braesgate Dr, Austin, Texas. You can contact this provider via phone number 5123829798 and fax number 5123829798. The mailing address for Lucius Hodge Alexander Jr is 16203 Braesgate Dr, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lucius Hodge Alexander Jr
Address 16203 Braesgate Dr, Austin, Texas
Phone Number 5123829798
Fax Number 5123829798
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO PRESID
Authorized Official Name Alexander Hodge Lucius
Telephone Number 5123829798

NPI Number Detail

NPI Number 1043374267
Provider Enumeration Date 2006-12-21
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 16203 Braesgate Dr
City Austin
State Texas (TX)
Post Code 787174850
Phone Number 5123829798
Fax Number 5123829798

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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FAQs about Lucius Hodge Alexander Jr

What is the unique 10-digit identifier code issued to Lucius Hodge Alexander Jr by the Centers for Medicare & Medicaid Services?

The Lucius Hodge Alexander Jr has been assigned the NPI (National Provider Identifier) 1043374267 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Lucius Hodge Alexander Jr is geographically located?

The Lucius Hodge Alexander Jr is physically situated at the following location: 16203 Braesgate Dr, Austin, TX, 787174850.

What is the Lucius Hodge Alexander Jr's specialty and taxonomy code?

The Lucius Hodge Alexander Jr's specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1043374267 to Lucius Hodge Alexander Jr?

The Centers for Medicare & Medicaid Services assigned the 1043374267 to Lucius Hodge Alexander Jr on 2006-12-21.

As of what date was the information pertaining to Lucius Hodge Alexander Jr, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lucius Hodge Alexander Jr, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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