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Champagne, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lindale, Texas
NPI 1538360144

Champagne, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lindale, TX. Champagne, Inc. practices in Lindale, TX. The NPI Number for Champagne, Inc. is 1538360144 and holds a License No. 117423 (Texas).

The current practice location address for Champagne, Inc. is 314 Jefferies St, Lindale, TX and can be reached out via phone at 903-882-8337 and via fax at 903-882-1627.

Location: 314 Jefferies St, Lindale, TX, 75771-1749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538360144
Provider Name
Champagne, Inc.
Credential
Provider Entity Type
Organization
Address
314 Jefferies St, Lindale, TX, 75771-1749
Phone Number
903-882-8337
Fax Number
903-882-1627
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
314 Jefferies St
City
Lindale
State
Texas
Zip
75771-8208
Phone Number
903-882-8337
Fax Number
903-882-1627
person
Provider Business Mailing Address Details
Address
314 Jefferies St
City
Lindale
State
Texas
Zip
75771-8208
Phone Number
903-882-8337
Fax Number
903-882-1627
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.
117423 (Texas)
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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