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21st Century Living Centers
Intellectual Disabilities Intermediate Care Facility in Southlake, Texas
NPI 1760673164

21st Century Living Centers is a Intellectual Disabilities Intermediate Care Facility based in Southlake, TX. 21st Century Living Centers practices in Southlake, TX. The NPI Number for 21st Century Living Centers is 1760673164 and holds a License No. 000762301 (Texas).

The current practice location address for 21st Century Living Centers is 2410 Taylor St, Southlake, TX and can be reached out via phone at 817-424-3338.

Location: 2410 Taylor St, Southlake, TX, 76092-3223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760673164
Provider Name
21st Century Living Centers
Credential
Provider Entity Type
Organization
Address
2410 Taylor St, Southlake, TX, 76092-3223
Phone Number
817-424-3338
Fax Number
Provider Enumeration Date
08/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2410 Taylor St
City
Southlake
State
Texas
Zip
76092-3316
Phone Number
817-424-3338
Fax Number
person
Provider Business Mailing Address Details
Address
2410 Taylor St
City
Southlake
State
Texas
Zip
76092-3316
Phone Number
817-424-3338
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
000762301 (Texas)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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