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Family Tree
Intellectual Disabilities Intermediate Care Facility in Bryan, Texas
NPI 1144422932

Family Tree is a Intellectual Disabilities Intermediate Care Facility based in Bryan, TX. Family Tree practices in Bryan, TX. The NPI Number for Family Tree is 1144422932 and holds a License No. 7662 (Texas).

The current practice location address for Family Tree is 408 N Washington Ave, Bryan, TX and can be reached out via phone at 979-822-6467 and via fax at 979-821-9448.

Location: 408 N Washington Ave, Bryan, TX, 77805-4588
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144422932
Provider Name
Family Tree
Credential
Provider Entity Type
Organization
Address
408 N Washington Ave, Bryan, TX, 77805-4588
Phone Number
979-822-6467
Fax Number
979-821-9448
Provider Enumeration Date
06/04/2007
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000766201 05 TX
institution
Provider Business Practice Location Address Details
Address
408 N Washington Ave
City
Bryan
State
Texas
Zip
77803-5310
Phone Number
979-822-6467
Fax Number
979-821-9448
person
Provider Business Mailing Address Details
Address
408 N Washington Ave
City
Bryan
State
Texas
Zip
77803-5310
Phone Number
979-822-6467
Fax Number
979-821-9448
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
7662 (Texas)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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