Organization
B &G CUSTOM CARE
Active
Other names
Integrity Companion Care
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY BROYLES (OWNER/MANAGER)
(903) 714-3099
Entity
Organization
Contact information
Practice address
1088 WILLOW OAK RD, GLADEWATER, TX 75647
(903) 714-3099
Mailing address
1088 N WILLOW OAK RD, GLADEWATER, TX 75647-7811
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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