B &g Custom Care
NPI #1316559321 in Gladewater, Texas
Provider Information
- NPI Number
- 1316559321
- Entity Type
- Organization
- Organization Name
- B &g Custom Care
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 20, 2020
- Last Updated
- Aug 20, 2020
Practice Location
- Address
- 1088 WILLOW OAK RD
- City
- Gladewater
- State
- Texas
- ZIP Code
- 75647
- Phone
- (903) 714-3099
Authorized Official
- Name
- JUDY BROYLES
- Title
- OWNER/MANAGER
- Phone
- (903) 714-3099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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| Provider Name | |
|---|---|
| Judy Lynn Broyles |
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