Breckenridge Village

NPI #1477748010 in Tyler, Texas

Provider Information

NPI Number: 1477748010
Entity Type: Organization
Organization Name: Breckenridge Village
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Sep 6, 2007
Last Updated: Apr 28, 2025

Practice Location

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

Authorized Official

Name: MELISSA PERKINS
Title: PRESIDENT
Phone: (903) 596-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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