Organization
MENTOR ABI, LLC
Active
Other names
NeuroRestorative Texas
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY BEATY (ACCOUNTS RECEIVABLE ANALYST)
(501) 707-3262
Entity
Organization
Contact information
Practice address
6589 OAK HILL BLVD, TYLER, TX 75703
(501) 707-3262
(501) 753-8204
Mailing address
280 MERRIMACK ST STE 600, LAWRENCE, MA 01843-1779
(978) 655-2363
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
136544
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH0996
BC-BS OF TX
TX
Enumeration date
08/31/2006
Last updated
10/04/2021
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