Organization
BLUEBONNET RESIDENTIAL CENTER - GENERAL PARTNERSHIP
Active
Other names
BLUEBONNET RESIDENTIAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN JOEL ZAGER (FINANCIAL ADMINISTRATOR)
(817) 389-3442
Entity
Organization
Contact information
Practice address
524 N PEARSON ST, GODLEY, TX 76044-3702
(817) 389-3442
(817) 389-2354
Mailing address
524 N PEARSON ST, GODLEY, TX 76044-3702
(817) 389-3442
(817) 389-2354
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
115074
TX
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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