Breckenridge Village

NPI #1245427947 in Tyler, Texas

Provider Information

NPI Number
1245427947
Entity Type
Organization
Organization Name
Breckenridge Village
Subpart
Yes (part of a larger organization)
Parent Organization
BAPTIST CHILD & FAMILY SERVICES INC.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Sep 27, 2007
Last Updated
Aug 26, 2019

Practice Location

Address
15062 COUNTY ROAD 1145
City
Tyler
State
Texas
ZIP Code
75704-7516
Phone
(903) 956-8100

Authorized Official

Name
KEVIN KING
Title
EXECUTIVE DIRECTOR
Phone
(903) 896-8100

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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