Organization
S&L RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SLESHEIA MICHELLE NEAL MS (OWNER/CEO)
(361) 779-0243
Entity
Organization
Contact information
Practice address
7465 LAKE MICALA DR, CORPUS CHRISTI, TX 78413-5823
(361) 779-0243
(361) 442-2492
Mailing address
7465 LAKE MICALA DR, CORPUS CHRISTI, TX 78413-5823
(361) 779-0243
(361) 442-2492
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
13393054
TX
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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