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BRENDA BURFORD

Assisted Living, Mental Illness

Devine, Texas

Provider NPI: 1396820841

Organization Information:
Organization Name:  BRENDA BURFORD


Practice Location:
309 BRISCOE AVE  DEVINE, TX 78016 US
Tel: 210-387-7515  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
TX113212
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility

Other Provider Identifiers:

IssuerNumberStateType
CBA001003859TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS TX - Page 1