| NPI | 1225166168 |
|---|---|
| Doing Business As | CEDAR VALLEY COMMUNITY RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | ROBERT J STERONKO CEO, President 512-328-1832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 111356) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |