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Southern Concepts Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Benbrook, Texas
NPI 1891823381

Southern Concepts Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fort Worth, TX. Southern Concepts Inc practices in Benbrook, TX. The NPI Number for Southern Concepts Inc is 1891823381 and holds a License No. 000377901 (Texas).

The current practice location address for Southern Concepts Inc is 3451 Boston Ave, Benbrook, TX and can be reached out via phone at 817-457-7997.

Location: 3451 Boston Ave, Benbrook, TX, 76109-4435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891823381
Provider Name
Southern Concepts Inc
Credential
Provider Entity Type
Organization
Address
3451 Boston Ave, Benbrook, TX, 76109-4435
Phone Number
817-457-7997
Fax Number
Provider Enumeration Date
02/28/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001007901 01 TX HCS CONTRACT
000738201 01 TX ICF-MR 6TH AND MESQUITE
000377901 01 TX ICF-MR 826 N THORP SPRING
027764201 05 TX
001008032 01 TX HCS CONTRACT
institution
Provider Business Practice Location Address Details
Address
3451 Boston Ave
City
Benbrook
State
Texas
Zip
76116-6330
Phone Number
817-457-7997
Fax Number
person
Provider Business Mailing Address Details
Address
3451 Boston Ave
City
Benbrook
State
Texas
Zip
76116-6330
Phone Number
817-457-7997
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
000377901 (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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