SOUTHLAKE EDUCATIONAL CENTER NPI 1356531644

NPI Information

  • NPI: 1356531644
  • Provider Name: SOUTHLAKE EDUCATIONAL CENTER
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: BROOKWOOD II
  • Address: 649 CIRCLE VIEW SOUTH
    HURST, TX
    ZIP 76054
  • Phone: (817) 481-5368

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NPI Details

SOUTHLAKE EDUCATIONAL CENTER is an intermediate care facility mentally retarded in Hurst, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SOUTHLAKE EDUCATIONAL CENTER NPI is 1356531644. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookwood Ii.

The provider's business location address is:

649 CIRCLE VIEW SOUTH
HURST, TX
ZIP 76054-316
Phone: (817) 481-5368
Fax: (817) 251-0318

The provider's authorized official is Michelle Deanne Neal .
The authorized official title is Admin/assistant Qmrp and has the following contact phone number (817) 481-5368.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 8/1/2007.

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
1315P00000XIntermediate Care Facility, Intellectual Disabilities1013303TEXASYes

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: 11/21/2025

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