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Gulf Bend Mrmr Center Hcs Program
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Victoria, Texas
NPI 1285668541

Gulf Bend Mrmr Center Hcs Program is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Victoria, TX. Gulf Bend Mrmr Center Hcs Program practices in Victoria, TX. The NPI Number for Gulf Bend Mrmr Center Hcs Program is 1285668541 and holds a License No. (Texas).

The current practice location address for Gulf Bend Mrmr Center Hcs Program is 6502 Nursery Dr, Victoria, TX and can be reached out via phone at 361-575-0611 and via fax at 361-582-2323.

Location: 6502 Nursery Dr, Victoria, TX, 77904-4112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285668541
Provider Name
Gulf Bend Mrmr Center Hcs Program
Credential
Provider Entity Type
Organization
Address
6502 Nursery Dr, Victoria, TX, 77904-4112
Phone Number
361-575-0611
Fax Number
361-582-2323
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001007430 01 TX CONTRACT NUMBER
institution
Provider Business Practice Location Address Details
Address
6502 Nursery Dr
City
Victoria
State
Texas
Zip
77904-1178
Phone Number
361-575-0611
Fax Number
361-582-2323
person
Provider Business Mailing Address Details
Address
6502 Nursery Dr
City
Victoria
State
Texas
Zip
77904-1178
Phone Number
361-575-0611
Fax Number
361-582-2323
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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