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Pecan Ridge Living Center Ltd
Mental Illness Intermediate Care Facility in Waco, Texas
NPI 1891786638

Pecan Ridge Living Center Ltd is a Mental Illness Intermediate Care Facility based in San Antonio, TX. Pecan Ridge Living Center Ltd practices in Waco, TX. The NPI Number for Pecan Ridge Living Center Ltd is 1891786638 and holds a License No. 003799 (Texas).

The current practice location address for Pecan Ridge Living Center Ltd is 1916 Seley Ave, Waco, TX and can be reached out via phone at 254-799-6291 and via fax at 254-799-5340. You can also correspond with Pecan Ridge Living Center Ltd through the mailing address at 845 PROTON RD, SAN ANTONIO, TX - 78258-4203 (mailing address contact number: 210-340-7155).

Location: 1916 Seley Ave, Waco, TX, 78258-4203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891786638
Provider Name
Pecan Ridge Living Center Ltd
Credential
Provider Entity Type
Organization
Address
1916 Seley Ave, Waco, TX, 78258-4203
Phone Number
254-799-6291
Fax Number
254-799-5340
Provider Enumeration Date
11/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001012117 05 TX
institution
Provider Business Practice Location Address Details
Address
1916 Seley Ave
City
Waco
State
Texas
Zip
76704-2057
Phone Number
254-799-6291
Fax Number
254-799-5340
person
Provider Business Mailing Address Details
Address
845 Proton Rd
City
San Antonio
State
Texas
Zip
78258-4203
Phone Number
210-340-7155
Fax Number
210-340-4832
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
003799 (Texas)
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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