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Kenmar Residential Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in La Grange, Texas
NPI 1568539682

Kenmar Residential Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Round Rock, TX. Kenmar Residential Services practices in La Grange, TX. The NPI Number for Kenmar Residential Services is 1568539682 and holds a License No. 118545 (Texas).

The current practice location address for Kenmar Residential Services is 520 N Main St, La Grange, TX and can be reached out via phone at 512-336-0800 and via fax at 512-336-0812.

Location: 520 N Main St, La Grange, TX, 78665-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568539682
Provider Name
Kenmar Residential Services
Credential
Provider Entity Type
Organization
Address
520 N Main St, La Grange, TX, 78665-1006
Phone Number
512-336-0800
Fax Number
512-336-0812
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45G405 05 TX
institution
Provider Business Practice Location Address Details
Address
520 N Main St
City
La Grange
State
Texas
Zip
78945-1940
Phone Number
512-336-0800
Fax Number
512-336-0812
person
Provider Business Mailing Address Details
Address
520 N Main St
City
La Grange
State
Texas
Zip
78945-1940
Phone Number
512-336-0800
Fax Number
512-336-0812
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.
118545 (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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