Organization
BRECKENRIDGE VILLAGE
Active
Parent organization
BAPTIST CHILD & FAMILY SERVICES INC.
Other names
Breckenridge Village Mallard House
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST CHILD & FAMILY SERVICES INC.
Authorized official
KEVIN KING (EXECUTIVE DIRECTOR)
(903) 896-8100
Entity
Organization
Contact information
Practice address
15062 COUNTY ROAD 1145, TYLER, TX 75704-7516
(903) 956-8100
(903) 596-8104
Mailing address
15062 COUNTY ROAD 1145, TYLER, TX 75704-7516
(903) 956-8100
(903) 596-8104
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
08/26/2019
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