Organization
BLUEBONNET HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERI SLONE (PRESIDENT)
(325) 658-6664
Entity
Organization
Contact information
Practice address
128 S MAGDALEN ST, SAN ANGELO, TX 76903-5910
(325) 658-6664
Mailing address
128 S MAGDALEN ST, SAN ANGELO, TX 76903-5910
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
1014586
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
1014587
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
1014588
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
TX
Other
Enumeration date
04/11/2006
Last updated
07/10/2007
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