Breckenridge Village
Breckenridge Village is an Intellectual Disabilities Intermediate Care Facility in Tyler, Texas. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
15062 County Road 1145Tyler, TX 75704-7516
Phone: (903) 956-8100
Fax: (903) 596-8104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X |
|---|
Record details
| NPI number | 1245427947 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Baptist Child & Family Services Inc |
| Authorized official | Kevin King — Executive Director · (903) 896-8100 |
| Other names | Breckenridge Village Mallard House; Breckenridge Village Mallard House |
| NPI enumerated | September 27, 2007 |
| Last updated in NPPES | August 26, 2019 |
| Mailing address | 15062 County Road 1145, Tyler, TX 75704-7516 |
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Breckenridge Village
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