Organization
MARK I RESIDENTIAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HENSON (OWNER ADMINISTRATOR)
(512) 789-4079
Entity
Organization
Contact information
Practice address
1806 W STASSNEY LN, SUITE 100, AUSTIN, TX 78745-3677
(512) 448-0965
(512) 448-0966
Mailing address
1806 W STASSNEY LN, SUITE 100, AUSTIN, TX 78745-3677
(512) 448-0965
(512) 448-0966
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
02/08/2024
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