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Kenmar Residential Service
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Smiley, Texas
NPI 1053489625

Kenmar Residential Service is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Austin, TX. Kenmar Residential Service practices in Smiley, TX. The NPI Number for Kenmar Residential Service is 1053489625 and holds a License No. 117230 (Texas).

The current practice location address for Kenmar Residential Service is Fm 3224 And 108, Smiley, TX and can be reached out via phone at 512-336-0800 and via fax at 512-336-0812.

Location: Fm 3224 And 108, Smiley, TX, 78750-1241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053489625
Provider Name
Kenmar Residential Service
Credential
Provider Entity Type
Organization
Address
Fm 3224 And 108, Smiley, TX, 78750-1241
Phone Number
512-336-0800
Fax Number
512-336-0812
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45G791 05 TX
institution
Provider Business Practice Location Address Details
Address
Fm 3224 And 108
City
Smiley
State
Texas
Zip
78159-1241
Phone Number
512-336-0800
Fax Number
512-336-0812
person
Provider Business Mailing Address Details
Address
Fm 3224 And 108
City
Smiley
State
Texas
Zip
78159-1241
Phone Number
512-336-0800
Fax Number
512-336-0812
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.
117230 (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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