Gulf Bend Mrmr Center Hcs Program in Victoria - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Gulf Bend Mrmr Center Hcs Program - NPI 1285668541
Gulf Bend Mrmr Center Hcs Program is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Victoria, Texas. Gulf Bend Mrmr Center Hcs Program practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Gulf Bend Mrmr Center Hcs Program is 1285668541. The last update date is 2009-08-28.
Gulf Bend Mrmr Center Hcs Program's current location address is 6502 Nursery Dr., Victoria, Texas. You can contact this provider via phone number 3615750611 and fax number 3615822329. The mailing address for Gulf Bend Mrmr Center Hcs Program is 6502 Nursery Dr., Victoria, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gulf Bend Mrmr Center Hcs Program |
|---|---|
| Address | 6502 Nursery Dr., Victoria, Texas |
| Phone Number | 3615750611 |
| Fax Number | 3615822329 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Polzin L Donald |
| Telephone Number | 3615750611 |
NPI Number Detail
| NPI Number | 1285668541 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2009-08-28 |
Provider Mailing Address Detail
| Address | 6502 Nursery Dr. |
|---|---|
| City | Victoria |
| State | Texas (TX) |
| Post Code | 779044112 |
| Phone Number | 3615750611 |
| Fax Number | 3615822329 |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007430 | TX | CONTRACT NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gulf Bend Mrmr Center Hcs Program by the Centers for Medicare & Medicaid Services?
The Gulf Bend Mrmr Center Hcs Program has been issued the NPI (National Provider Identifier) 1285668541 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Gulf Bend Mrmr Center Hcs Program is located?
The Gulf Bend Mrmr Center Hcs Program is situated at the following address: 6502 Nursery Dr., Victoria, TX, 779044112.
What is Gulf Bend Mrmr Center Hcs Program's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gulf Bend Mrmr Center Hcs Program is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.
When was the Gulf Bend Mrmr Center Hcs Program's 1285668541 issued?
The Gulf Bend Mrmr Center Hcs Program's 1285668541 was issued on 2006-07-10.
As of what date were the Gulf Bend Mrmr Center Hcs Program's details last updated?
The information pertaining to the Gulf Bend Mrmr Center Hcs Program, including its address, specialty, and other details, was most recently updated on 2009-08-28.