Gulf Bend Mrmr Center ICF/MR
Gulf Bend Mrmr Center ICF/MR is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Port Lavaca, Texas. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
102 Burnet StPort Lavaca, TX 77979-2611
Phone: (361) 575-0611
Fax: (361) 582-2329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1932139979 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Polzin — Executive Director · (361) 575-0611 |
| NPI enumerated | July 4, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1502 E Airline Rd, Suite 25, Victoria, TX 77901-4112 |