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OPTIMUM RESIDENTIAL SERVICES LTD

Intermediate Care Facility, Mental Illness

Austin, Texas

Provider NPI: 1851357263

Organization Information:
Organization Name:  OPTIMUM RESIDENTIAL SERVICES LTD


Practice Location:
2579 WESTERN TRAILS BLVD  AUSTIN, TX 78745 US
Tel: 512-892-2191  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
TX007274

Other Provider Identifiers:

IssuerNumberStateType
01004809TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS TX - Page 1