MAINSTREAM HABILITATION SERVICES OF TEXAS, INC.
Intermediate Care Facility, Mentally Retarded
Lakeside, Texas
Provider NPI: 1679531503
Organization Information:Organization Name: MAINSTREAM HABILITATION SERVICES OF TEXAS, INC.
Practice Location:
717 MOUNTAIN RIDGE CT W LAKESIDE, TX 76135 US
Tel: 817-237-8329 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
717 MOUNTAIN RIDGE CT W LAKESIDE, TX 76135 US
Tel: 817-237-8329 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | TX | 116728 |
N | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | TX | 116726 |
N | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | TX | 112011 |
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | TX | 116454 |