Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
Riverforest Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SCHALCHLIN (ASSOCIATE COMMISSION)
(512) 438-3076
Entity
Organization
Contact information
Practice address
5021 CALALLEN DR, CORPUS CHRISTI, TX 78410-4748
(361) 888-5301
(361) 844-7910
Mailing address
PO BOX 9297, CORPUS CHRISTI, TX 78469-9297
(361) 888-5301
(361) 844-7910
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001000829
—
TX
Enumeration date
11/09/2006
Last updated
02/05/2018
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