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Walnut Creek Residential Services, Inc.
Intellectual Disabilities Intermediate Care Facility in Mansfield, Texas
NPI 1174734115

Walnut Creek Residential Services, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Mansfield, TX. Walnut Creek Residential Services, Inc. practices in Mansfield, TX. The NPI Number for Walnut Creek Residential Services, Inc. is 1174734115 and holds a License No. 120445 (Texas).

The current practice location address for Walnut Creek Residential Services, Inc. is 622 S Walnut Creek Dr, Mansfield, TX and can be reached out via phone at 817-477-3930 and via fax at 817-477-3315.

Location: 622 S Walnut Creek Dr, Mansfield, TX, 76063-2132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174734115
Provider Name
Walnut Creek Residential Services, Inc.
Credential
Provider Entity Type
Organization
Address
622 S Walnut Creek Dr, Mansfield, TX, 76063-2132
Phone Number
817-477-3930
Fax Number
817-477-3315
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
622 S Walnut Creek Dr
City
Mansfield
State
Texas
Zip
76063-2132
Phone Number
817-477-3930
Fax Number
817-477-3315
person
Provider Business Mailing Address Details
Address
622 S Walnut Creek Dr
City
Mansfield
State
Texas
Zip
76063-2132
Phone Number
817-477-3930
Fax Number
817-477-3315
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
120445 (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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