NPI | 1790851202 |
---|---|
Other Name | RICHMOND STATE SUPPORTED LIVING CENTER |
Entity Type | Organization |
Authorized Contact | SCOTT SCHALCHLIN Associate Com MIS Sioner 512-438-3076 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
207W00000X Ophthalmology | |
208000000X Pediatrics | |
208100000X Physical Medicine & Rehabilitation | |
2084N0400X Psychiatry & Neurology Neurology | |
2084P0800X Psychiatry & Neurology Psychiatry | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-11-27 |
Last Update Date | 2018-02-05 |