person
Brandie Fulbright
Intellectual Disabilities Intermediate Care Facility in Lubbock, Texas
NPI 1811443179

Brandie Fulbright is a Intellectual Disabilities Intermediate Care Facility based in Lubbock, TX. Brandie Fulbright practices in Lubbock, TX. The NPI Number for Brandie Fulbright is 1811443179 and holds a License No. 007350 (Texas).

The current practice location address for Brandie Fulbright is 5322 22Nd St, Lubbock, TX and can be reached out via phone at 210-268-7759.

Location: 5322 22Nd St, Lubbock, TX, 79407
person
Provider Profile Details
NPI Number
1811443179
Provider Name
Brandie Fulbright
Credential
Provider Entity Type
Individual
Gender
Female
Address
5322 22Nd St, Lubbock, TX, 79407
Phone Number
210-268-7759
Fax Number
Provider Enumeration Date
08/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007350 05 TX
institution
Provider Business Practice Location Address Details
Address
5322 22Nd St
City
State
Zip
79407-2117
Phone Number
210-268-7759
Fax Number
person
Provider Business Mailing Address Details
Address
5322 22Nd St
City
State
Zip
79407-2117
Phone Number
210-268-7759
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
007350 (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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