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Organization

BENNY RAY HOWARD ESTATE

Active
Other names
Texas Residential and Vocational Services
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA F HOWARD (ADMINISTRATOR)
(512) 928-2498
Entity
Organization

Contact information

Practice address
2107 BRUNSWICK DR, AUSTIN, TX 78723-2023
(512) 928-2498
(512) 928-2473
Mailing address
2107 BRUNSWICK DR, AUSTIN, TX 78723-2023
(512) 928-2498
(512) 928-2473

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
125187
TX

Other

Enumeration date
05/26/2010
Last updated
08/02/2019
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