Walnut Creek Residential Services, Inc.
NPI #1174734115 in Mansfield, Texas
Provider Information
- NPI Number
- 1174734115
- Entity Type
- Organization
- Organization Name
- Walnut Creek Residential Services, Inc.
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- May 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MRS. CONNIE ROGERS LEEMAUK
- Title
- ADMINISTRATOR
- Phone
- (817) 477-3930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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