Organization
UCG CENTRAL TEXAS HOLDINGS LLC
Active
Other names
Victoria Group Home, 14th St
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI TURNER (LICENSING COORDINATOR)
(682) 707-2756
Entity
Organization
Contact information
Practice address
5003 14TH ST, LUBBOCK, TX 79416-5615
(682) 707-2756
Mailing address
2006 N WHEELER ST, VICTORIA, TX 77901-4849
(361) 575-1558
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001027542
ICF CONTRACT
TX
01
—
PENDING
ICF
TX
Enumeration date
02/24/2016
Last updated
03/12/2025
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