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Organization

PAB GROUP LLC

Active
Other names
Peggy's Place
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA PABELLON (DIRECTOR)
(512) 659-2933
Entity
Organization

Contact information

Practice address
9004 POSTVINE DR, AUSTIN, TX 78724-6244
(512) 659-2933
Mailing address
9004 POSTVINE DR, AUSTIN, TX 78724-6244
(512) 659-2933

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
253Z00000X
In Home Supportive Care Agency
261QD1600X
Developmental Disabilities Clinic/Center
261QR0800X
Recovery Care Clinic/Center
3104A0625X
Assisted Living Facility (Mental Illness)
311ZA0620X
Adult Care Home Facility
315P00000X
Intellectual Disabilities Intermediate Care Facility
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
347E00000X
Transportation Broker
385H00000X
Respite Care

Other

Enumeration date
02/28/2024
Last updated
03/19/2024
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