Organization
LANGUAGE REASOURCE CENTER
Active
Other names
BROOKWOOD
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DEANNE NEAL (ADMIN/ASSISTANT QMRP)
(817) 481-5368
Entity
Organization
Contact information
Practice address
2900 BROOKWOOD LN, SOUTHLAKE, TX 76092-5547
(817) 481-5368
(817) 251-0318
Mailing address
2695 LONESOME DOVE RD, SOUTHLAKE, TX 76092-3223
(817) 481-5368
(817) 251-0318
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
000727602
TX
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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