Taxonomy Code 320900000X(320900000x)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. Providers: 2

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Providers

NPI Name Type Address

1316559321

B &g Custom Care

Organization

1088 Willow Oak Rd

Gladewater, TX

1164046637

Judy Lynn Broyles

Individual

1088 N Willow Oak Rd

Gladewater, TX

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 320900000X
Display Name Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Taxonomy Group Residential Treatment Facilities
Taxonomy Classification Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Definition A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Effective Date September 30, 2009
Modification Date September 30, 2009
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