Crosby Community Home INC

NPI #1427003292 in Longview, Texas

Provider Information

NPI Number
1427003292
Entity Type
Organization
Organization Name
Crosby Community Home INC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
May 23, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
112 S WARD DR
State
Texas
ZIP Code
75604
Phone
(903) 295-7391

Authorized Official

Name
MR. HOWARD WAYNE PECOT
Title
PRESIDENT
Phone
(903) 295-7391

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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