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Pecan Valley Mhmr Region
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cleburne, Texas
NPI 1578781605

Pecan Valley Mhmr Region is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Stephenville, TX. Pecan Valley Mhmr Region practices in Cleburne, TX. The NPI Number for Pecan Valley Mhmr Region is 1578781605 and holds a License No. 1014220 (Texas).

The current practice location address for Pecan Valley Mhmr Region is 2901 Fm 2280, Cleburne, TX and can be reached out via phone at 817-558-0642.

Location: 2901 Fm 2280, Cleburne, TX, 76401-3311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578781605
Provider Name
Pecan Valley Mhmr Region
Credential
Provider Entity Type
Organization
Address
2901 Fm 2280, Cleburne, TX, 76401-3311
Phone Number
817-558-0642
Fax Number
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1014220 01 DADS CONTRACT
institution
Provider Business Practice Location Address Details
Address
2901 Fm 2280
City
Cleburne
State
Texas
Zip
76031-7803
Phone Number
817-558-0642
Fax Number
person
Provider Business Mailing Address Details
Address
2901 Fm 2280
City
Cleburne
State
Texas
Zip
76031-7803
Phone Number
817-558-0642
Fax Number
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.
1014220 (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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