Organization
SOUTHERN CONCEPTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI TURNER (LICENSING COORDINATOR)
(682) 707-2756
Entity
Organization
Contact information
Practice address
3451 BOSTON AVE, BENBROOK, TX 76116-6330
(817) 457-7997
Mailing address
4150 INTERNATIONAL PLZ STE 820, FORT WORTH, TX 76109-4836
(800) 299-5161
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
000377901
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000377901
ICF-MR 826 N THORP SPRING
TX
01
—
000738201
ICF-MR 6TH AND MESQUITE
TX
01
—
001007901
HCS CONTRACT
TX
01
—
001008032
HCS CONTRACT
TX
05
—
027764201
—
TX
Enumeration date
02/28/2007
Last updated
05/12/2025
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