| NPI | 1245427947 |
|---|---|
| Doing Business As | BRECKENRIDGE VILLAGE MALLARD HOUSE |
| Entity Type | Organization |
| Authorized Contact | KEVIN KING Executive Director 903-896-8100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2019-08-26 |