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Southlake Educational Center
Intellectual Disabilities Intermediate Care Facility in Hurst, Texas
NPI 1356531644

Southlake Educational Center is a Intellectual Disabilities Intermediate Care Facility based in Southlake, TX. Southlake Educational Center practices in Hurst, TX. The NPI Number for Southlake Educational Center is 1356531644 and holds a License No. 1013303 (Texas).

The current practice location address for Southlake Educational Center is 649 Circle View South, Hurst, TX and can be reached out via phone at 817-481-5368 and via fax at 817-251-0318.

Location: 649 Circle View South, Hurst, TX, 76092-3223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356531644
Provider Name
Southlake Educational Center
Credential
Provider Entity Type
Organization
Address
649 Circle View South, Hurst, TX, 76092-3223
Phone Number
817-481-5368
Fax Number
817-251-0318
Provider Enumeration Date
08/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
649 Circle View South
City
Hurst
State
Texas
Zip
76054-3316
Phone Number
817-481-5368
Fax Number
817-251-0318
person
Provider Business Mailing Address Details
Address
649 Circle View South
City
Hurst
State
Texas
Zip
76054-3316
Phone Number
817-481-5368
Fax Number
817-251-0318
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
1013303 (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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