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Christian Life Residential Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Malakoff, Texas
NPI 1578816799

Christian Life Residential Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Malakoff, TX. Christian Life Residential Services practices in Malakoff, TX. The NPI Number for Christian Life Residential Services is 1578816799 and holds a License No. (Texas).

The current practice location address for Christian Life Residential Services is 226 E Royall Blvd, Malakoff, TX and can be reached out via phone at 903-489-9977 and via fax at 903-698-2827.

Location: 226 E Royall Blvd, Malakoff, TX, 75148-9110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578816799
Provider Name
Christian Life Residential Services
Credential
Provider Entity Type
Organization
Address
226 E Royall Blvd, Malakoff, TX, 75148-9110
Phone Number
903-489-9977
Fax Number
903-698-2827
Provider Enumeration Date
10/25/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1972702298 05 TX
institution
Provider Business Practice Location Address Details
Address
226 E Royall Blvd
City
Malakoff
State
Texas
Zip
75148-9110
Phone Number
903-489-9977
Fax Number
903-698-2827
person
Provider Business Mailing Address Details
Address
226 E Royall Blvd
City
Malakoff
State
Texas
Zip
75148-9110
Phone Number
903-489-9977
Fax Number
903-698-2827
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.
()
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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