Pecan Valley Mhmr Region in Stephenville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Pecan Valley Mhmr Region - NPI 1720208630
Pecan Valley Mhmr Region is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Stephenville, Texas. Pecan Valley Mhmr Region practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Pecan Valley Mhmr Region is 1720208630. The last update date is 2020-08-22.
Pecan Valley Mhmr Region's current location address is 650 W Green St, Stephenville, Texas. You can contact this provider via phone number 2549867806. The mailing address for Pecan Valley Mhmr Region is 650 W Green St, Stephenville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pecan Valley Mhmr Region |
|---|---|
| Address | 650 W Green St, Stephenville, Texas |
| Phone Number | 2549867806 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MIS DIRECT |
|---|---|
| Authorized Official Name | Whaite Ralph |
| Telephone Number | 9403973147 |
NPI Number Detail
| NPI Number | 1720208630 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 650 W Green St |
|---|---|
| City | Stephenville |
| State | Texas (TX) |
| Post Code | 764013311 |
| Phone Number | 2549867806 |
| Fax Number |
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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What is the unique provider identifier assigned to Pecan Valley Mhmr Region?
The Pecan Valley Mhmr Region has been issued the NPI (National Provider Identifier) 1720208630 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Pecan Valley Mhmr Region located?
The Pecan Valley Mhmr Region is located at 650 W Green St, Stephenville, TX 764013311.
What is the area of specialization for Pecan Valley Mhmr Region, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pecan Valley Mhmr Region is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
On what date did the Pecan Valley Mhmr Region receive the assignment of its 1720208630 from the Centers for Medicare & Medicaid Services?
The Pecan Valley Mhmr Region was issued its 1720208630 by the Centers for Medicare & Medicaid Services on 2007-04-26.
As of what date was the information regarding Pecan Valley Mhmr Region, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pecan Valley Mhmr Region, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.