Organization · NPI-2

Language Reasource Center

Intermediate Care Facility, Intellectual Disabilities · Southlake, TX

NPI number1417147000
StatusActive
Last updated in NPPESJul 30, 2007

Details

NPI
1417147000
Entity type
Organization (NPI-2)
Legal business name
Language Reasource Center
Organization subpart
No
Enumeration date
Jul 30, 2007
Last updated
Jul 30, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
315P00000X Intermediate Care Facility, Intellectual Disabilities000727602TXYes

Other names

  • Brookwood (Doing Business As)

Practice location

2900 Brookwood Ln
Southlake, TX 76092-5547

Phone 817-481-5368 · Fax 817-251-0318

Mailing address

2695 Lonesome Dove Rd
Southlake, TX 76092-3223

Phone 817-481-5368 · Fax 817-251-0318

Authorized official

Michelle Deanne Neal
Admin/Assistant Qmrp
8174815368

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