| NPI | 1972360790 |
|---|---|
| Other Name | PEGGY'S PLACE |
| Entity Type | Organization |
| Authorized Contact | BRENDA PABELLON Director 512-659-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-03-19 |