Organization
INNOVATIVE HOMES OF DEEP EAST TEXAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRO GENE BRANCH LBSW, CART (PROGRAM DIRECTOR)
(936) 639-5273
Entity
Organization
Contact information
Practice address
513 S 1ST ST, LUFKIN, TX 75901-3867
(936) 639-5273
(936) 639-5286
Mailing address
PO BOX 150925, LUFKIN, TX 75915-0925
(936) 639-5273
(936) 639-5286
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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