Organization
SOUTHWEST CARE ASSOCIATES LP
Active
Other names
INDEPENDENT LIVING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DELORES SMITH (SEC'Y/TREAS UFM INC-GEN PTR)
(865) 938-4101
Entity
Organization
Contact information
Practice address
3120 SMITH ST, TEXARKANA, TX 75501-4083
(903) 832-8644
(903) 838-5982
Mailing address
PO BOX 12322, KNOXVILLE, TN 37912-0322
(865) 938-4101
(865) 938-7230
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
112042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001432000
RESIDENTIAL CARE
TX
Enumeration date
09/07/2005
Last updated
08/22/2020
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