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Gulf Bend Mrmr Center Icf/mr
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Port Lavaca, Texas
NPI 1932139979

Gulf Bend Mrmr Center Icf/mr is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Victoria, TX. Gulf Bend Mrmr Center Icf/mr practices in Port Lavaca, TX. The NPI Number for Gulf Bend Mrmr Center Icf/mr is 1932139979 and holds a License No. (Texas).

The current practice location address for Gulf Bend Mrmr Center Icf/mr is 102 Burnet St, Port Lavaca, TX and can be reached out via phone at 361-575-0611 and via fax at 361-582-2329.

Location: 102 Burnet St, Port Lavaca, TX, 77901-4112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932139979
Provider Name
Gulf Bend Mrmr Center Icf/mr
Credential
Provider Entity Type
Organization
Address
102 Burnet St, Port Lavaca, TX, 77901-4112
Phone Number
361-575-0611
Fax Number
361-582-2329
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
102 Burnet St
City
Port Lavaca
State
Texas
Zip
77979-2611
Phone Number
361-575-0611
Fax Number
361-582-2329
person
Provider Business Mailing Address Details
Address
102 Burnet St
City
Port Lavaca
State
Texas
Zip
77979-2611
Phone Number
361-575-0611
Fax Number
361-582-2329
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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