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Organization

NORTHVIEW DEVELOPMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATSY WILSON (ADMINISTRATOR)
(254) 629-2624
Entity
Organization

Contact information

Practice address
401 W MOSS ST, EASTLAND, TX 76448-1754
(254) 629-2624
(254) 629-3950
Mailing address
PO BOX 148, EASTLAND, TX 76448-0148
(254) 629-2624
(254) 629-3950

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
123425
TX

Other

Enumeration date
07/09/2008
Last updated
07/17/2008
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