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4 Corners Residential Care, Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Austin, Texas
NPI 1063657450

4 Corners Residential Care, Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Austin, TX. 4 Corners Residential Care, Llc practices in Austin, TX. The NPI Number for 4 Corners Residential Care, Llc is 1063657450 and holds a License No. (Texas).

The current practice location address for 4 Corners Residential Care, Llc is 408 W 17Th St, Austin, TX and can be reached out via phone at 313-333-6947.

Location: 408 W 17Th St, Austin, TX, 78701-1242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063657450
Provider Name
4 Corners Residential Care, Llc
Credential
Provider Entity Type
Organization
Address
408 W 17Th St, Austin, TX, 78701-1242
Phone Number
313-333-6947
Fax Number
Provider Enumeration Date
12/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
408 W 17Th St
City
Austin
State
Texas
Zip
78701-1242
Phone Number
313-333-6947
Fax Number
person
Provider Business Mailing Address Details
Address
408 W 17Th St
City
Austin
State
Texas
Zip
78701-1242
Phone Number
313-333-6947
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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