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Organization

SPINDLETOP MHMR SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HOLLY BOREL (CHIEF EXECUTIVE OFFICER)
(409) 839-1000
Entity
Organization

Contact information

Practice address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
(409) 839-1000
(409) 839-1066
Mailing address
2750 S 8TH ST, P O BOX 3846, BEAUMONT, TX 77701-7719
(409) 839-1000
(409) 839-1066

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
001007211
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001007211
TX
Enumeration date
03/09/2007
Last updated
12/05/2022
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