HEALTH AND HUMAN SERVICES COMMISSION
Intermediate Care Facility, Mentally Retarded
Corpus Christi, Texas
Provider NPI: 1073692604
Organization Information:Organization Name: HEALTH AND HUMAN SERVICES COMMISSION
Practice Location:
4013 CASTLE RIDGE DR CORPUS CHRISTI, TX 78410 US
Tel: 361-888-5301 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4013 CASTLE RIDGE DR CORPUS CHRISTI, TX 78410 US
Tel: 361-888-5301 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | TX |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
001000830 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin