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Land Manor, Inc.
Substance Abuse Rehabilitation Facility in Beaumont, Texas
NPI 1083838585

Land Manor, Inc. is a Substance Abuse Rehabilitation Facility based in Beaumont, TX. Land Manor, Inc. practices in Beaumont, TX. The NPI Number for Land Manor, Inc. is 1083838585 and holds a License No. 124-124H (Texas).

The current practice location address for Land Manor, Inc. is 355 N 18Th St, Beaumont, TX and can be reached out via phone at 409-838-3946 and via fax at 409-838-4298.

Location: 355 N 18Th St, Beaumont, TX, 77726-7250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083838585
Provider Name
Land Manor, Inc.
Credential
Provider Entity Type
Organization
Address
355 N 18Th St, Beaumont, TX, 77726-7250
Phone Number
409-838-3946
Fax Number
409-838-4298
Provider Enumeration Date
04/13/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
065464202 05 TX
institution
Provider Business Practice Location Address Details
Address
355 N 18Th St
City
Beaumont
State
Texas
Zip
77707-2229
Phone Number
409-838-3946
Fax Number
409-838-4298
person
Provider Business Mailing Address Details
Address
355 N 18Th St
City
Beaumont
State
Texas
Zip
77707-2229
Phone Number
409-838-3946
Fax Number
409-838-4298
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
124-F (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
124-124H (Texas)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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