Organization
STEWART'S RESIDENTIAL SUPPORT AND CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORLI SIMMONS (CEO)
(409) 225-3286
Entity
Organization
Contact information
Practice address
1395 AVENUE D, BEAUMONT, TX 77701-5232
(409) 832-9707
Mailing address
5670 FALCON LN, BEAUMONT, TX 77708-2203
(409) 225-3286
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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