Pecan Ridge Living Center Ltd

NPI #1891786638 in Waco, Texas

Provider Information

NPI Number
1891786638
Entity Type
Organization
Organization Name
Pecan Ridge Living Center Ltd
Subpart
Yes (part of a larger organization)
Parent Organization
SURREY HOLDINGS, INC
Primary Specialty
Intermediate Care Facility, Mental Illness
Enumeration Date
Nov 1, 2005
Last Updated
Jun 17, 2008

Practice Location

Address
1916 SELEY AVE
City
Waco
State
Texas
ZIP Code
76704-2057
Phone
(254) 799-6291

Authorized Official

Name
MIKE HAWKER
Title
CFO
Phone
(210) 340-7155

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Mental Illness

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