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Pecan Valley Mhmr Region
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mineral Wells, Texas
NPI 1043438153

Pecan Valley Mhmr Region is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Stephenville, TX. Pecan Valley Mhmr Region practices in Mineral Wells, TX. The NPI Number for Pecan Valley Mhmr Region is 1043438153 and holds a License No. 394602 (Texas).

The current practice location address for Pecan Valley Mhmr Region is 202 Nw 23Rd St, Mineral Wells, TX and can be reached out via phone at 940-325-1942.

Location: 202 Nw 23Rd St, Mineral Wells, TX, 76401-3311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043438153
Provider Name
Pecan Valley Mhmr Region
Credential
Provider Entity Type
Organization
Address
202 Nw 23Rd St, Mineral Wells, TX, 76401-3311
Phone Number
940-325-1942
Fax Number
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
394602 01 DADS CONTRACT
institution
Provider Business Practice Location Address Details
Address
202 Nw 23Rd St
City
Mineral Wells
State
Texas
Zip
76067-2998
Phone Number
940-325-1942
Fax Number
person
Provider Business Mailing Address Details
Address
202 Nw 23Rd St
City
Mineral Wells
State
Texas
Zip
76067-2998
Phone Number
940-325-1942
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
394602 (Texas)
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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