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Breckenridge Village
Intellectual Disabilities Intermediate Care Facility in Tyler, Texas
NPI 1245427947

Breckenridge Village is a Intellectual Disabilities Intermediate Care Facility based in Tyler, TX. Breckenridge Village practices in Tyler, TX. The NPI Number for Breckenridge Village is 1245427947 and holds a License No. (Texas).

The current practice location address for Breckenridge Village is 15062 County Road 1145, Tyler, TX and can be reached out via phone at 903-956-8100 and via fax at 903-596-8104.

Location: 15062 County Road 1145, Tyler, TX, 75704-7516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245427947
Provider Name
Breckenridge Village
Credential
Provider Entity Type
Organization
Address
15062 County Road 1145, Tyler, TX, 75704-7516
Phone Number
903-956-8100
Fax Number
903-596-8104
Provider Enumeration Date
09/27/2007
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
15062 County Road 1145
City
Tyler
State
Texas
Zip
75704-7516
Phone Number
903-956-8100
Fax Number
903-596-8104
person
Provider Business Mailing Address Details
Address
15062 County Road 1145
City
Tyler
State
Texas
Zip
75704-7516
Phone Number
903-956-8100
Fax Number
903-596-8104
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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