Pecan Valley Mhmr Region in Stephenville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Pecan Valley Mhmr Region - NPI 1902026818
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 1902026818. 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 2549657806. 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 | 2549657806 |
| 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 | 1902026818 |
|---|---|
| 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 | 2549657806 |
| 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 10-digit identifier code issued to Pecan Valley Mhmr Region by the Centers for Medicare & Medicaid Services?
The Pecan Valley Mhmr Region has been assigned the NPI (National Provider Identifier) 1902026818 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 Pecan Valley Mhmr Region is geographically located?
The Pecan Valley Mhmr Region is physically situated at the following location: 650 W Green St, Stephenville, TX, 764013311.
What is Pecan Valley Mhmr Region's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pecan Valley Mhmr Region is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.
When was the Pecan Valley Mhmr Region's 1902026818 issued?
The Pecan Valley Mhmr Region's 1902026818 was issued 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.
NPI Number: 1376546309
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