Organization
BRECKENRIDGE VILLAGE
Active
Other names
Breckenridge Village of Tyler
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA PERKINS (PRESIDENT)
(903) 596-8100
Entity
Organization
Contact information
Practice address
15062 COUNTY ROAD 1145, TYLER, TX 75704-7516
(903) 956-8100
(903) 956-8104
Mailing address
15062 COUNTY ROAD 1145, TYLER, TX 75704-7516
(903) 956-8100
(903) 956-8104
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
04/28/2025
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