Organization
SPINDLETOP MHMR SERVICES
Active
Other names
TEXAS HOME LIVING, Spindletop Center
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY BOREL (CHIEF EXECUTIVE OFFICER)
(409) 839-1000
Entity
Organization
Contact information
Practice address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
(409) 839-1000
(409) 839-1066
Mailing address
2750 S 8TH ST, P O BOX 3846, BEAUMONT, TX 77701-7719
(409) 839-1000
(409) 839-1066
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
001010230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001010230
CONTRACT NO.
TX
Enumeration date
03/28/2007
Last updated
03/27/2023
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