Organization
LIVING RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN SHELTON (ADMINISTRATOR/OWNER)
(325) 695-2112
Entity
Organization
Contact information
Practice address
301 W AVENUE D, SWEETWATER, TX 79556-5133
(325) 235-2568
Mailing address
3125 S 27TH ST, ABILENE, TX 79605-6239
(325) 695-2112
(325) 794-0023
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
001001878
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
001001879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001001878
—
TX
05
—
001001879
—
TX
05
—
145836166
—
TX
Enumeration date
11/21/2006
Last updated
01/08/2024
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