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Greenbreak, Inc.
Intellectual Disabilities Intermediate Care Facility in Lancaster, Texas
NPI 1225239759

Greenbreak, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Fort Worth, TX. Greenbreak, Inc. practices in Lancaster, TX. The NPI Number for Greenbreak, Inc. is 1225239759 and holds a License No. (Texas).

The current practice location address for Greenbreak, Inc. is 234 Barry Ln, Lancaster, TX and can be reached out via phone at 800-299-5161 and via fax at 817-447-3033.

Location: 234 Barry Ln, Lancaster, TX, 76109-4435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225239759
Provider Name
Greenbreak, Inc.
Credential
Provider Entity Type
Organization
Address
234 Barry Ln, Lancaster, TX, 76109-4435
Phone Number
800-299-5161
Fax Number
817-447-3033
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000394702 01 TX CONTRACT #
003947 01 TX CONTRACT
114943 01 TX LICENSE
institution
Provider Business Practice Location Address Details
Address
234 Barry Ln
City
Lancaster
State
Texas
Zip
75146-2204
Phone Number
800-299-5161
Fax Number
817-447-3033
person
Provider Business Mailing Address Details
Address
234 Barry Ln
City
Lancaster
State
Texas
Zip
75146-2204
Phone Number
800-299-5161
Fax Number
817-447-3033
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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