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Mr. Michael Eldridge Bonincontri
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Killeen, Texas
NPI 1447318399

Michael Eldridge Bonincontri is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Killeen, TX. Michael Eldridge Bonincontri practices in Killeen, TX. The NPI Number for Michael Eldridge Bonincontri is 1447318399 and holds a License No. (Texas).

The current practice location address for Michael Eldridge Bonincontri is 1214 Alta Vista Dr, Killeen, TX and can be reached out via phone at 254-458-9509.

Location: 1214 Alta Vista Dr, Killeen, TX, 76549-1129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447318399
Provider Name
Michael Eldridge Bonincontri
Credential
Provider Entity Type
Individual
Gender
Male
Address
1214 Alta Vista Dr, Killeen, TX, 76549-1129
Phone Number
254-458-9509
Fax Number
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1214 Alta Vista Dr
City
Killeen
State
Texas
Zip
76549-1129
Phone Number
254-458-9509
Fax Number
person
Provider Business Mailing Address Details
Address
1214 Alta Vista Dr
City
Killeen
State
Texas
Zip
76549-1129
Phone Number
254-458-9509
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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