Organization
THE SYCAMORE
Active
Parent organization
BAPTIST COMMUNITY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST COMMUNITY SERVICES
Authorized official
ROBERT SMITH (VICE PRESIDENT)
(806) 337-4144
Entity
Organization
Contact information
Practice address
1511 S VAN BUREN ST, AMARILLO, TX 79101-4129
(806) 337-4144
Mailing address
1511 S VAN BUREN ST, AMARILLO, TX 79101-4129
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
104442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106783
TEXAS HEALTH AND HUMAN SERVICES, ASSISTED LIVING FACILITY
TX
Enumeration date
06/13/2018
Last updated
06/13/2018
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