Organization
CENTRAL PLAINS CENTER ICF
Active
Other names
ICF
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RON TRUSLER (CEO)
(806) 293-2636
Entity
Organization
Contact information
Practice address
405 ENNIS, PLAINVIEW, TX 79072-1826
(806) 291-4450
(806) 291-4480
Mailing address
2700 YONKERS, PLAINVIEW, TX 79072-1826
(806) 293-2636
(806) 296-5804
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000393901
ICF
TX
05
—
000393901
—
TX
Enumeration date
05/31/2007
Last updated
07/25/2008
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