LAND MANOR INC. NPI 1083838585

NPI Information

NPI: 1083838585
Provider Name: LAND MANOR, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
355 N 18TH ST
SUITE 101
BEAUMONT, TX
ZIP 77707
Phone: (409) 838-3946
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LAND MANOR, INC. is a rehabilitation and substance use disorder clinic center in Beaumont, TX. LAND MANOR, INC. NPI is 1083838585. The provider is registered as an organization entity type.

The provider's business location address is:

355 N 18TH ST
SUITE 101
BEAUMONT, TX
ZIP 77707-229
Phone: (409) 838-3946
Fax: (409) 838-4298

The provider's authorized official is Cheryl Ann Kahclamat .
The authorized official title is Quality Management Director and has the following contact phone number (409) 838-3946.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 11/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		124-F	TEXAS	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	124-124H	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	065464202	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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