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Organization

HEALTH AND HUMAN SERVICES COMMISSION

Active
Other names
Castle River Group Home
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT SCHALCHLIN (ASSOCIATE COMMISSIONER)
(512) 438-3076
Entity
Organization

Contact information

Practice address
4013 CASTLE RIDGE DR, CORPUS CHRISTI, TX 78410-3634
(361) 888-5301
(361) 844-7910
Mailing address
PO BOX 9297, CORPUS CHRISTI, TX 78469-9297
(361) 888-5301
(361) 844-7910

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001000830
TX
Enumeration date
11/03/2006
Last updated
02/05/2018
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