BAPTIST CARE FACILITIES FOR PERSON'S WITH MENTAL DISABILTIES is an assisted living facility in Tyler, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BAPTIST CARE FACILITIES FOR PERSON'S WITH MENTAL DISABILTIES NPI is 1770969768. The provider is registered as an organization entity type.
The provider Is Doing Business As Breckenridge Village Of Tyler.
The provider's business location address is:
15062 COUNTY ROAD 1145
TYLER, TX
ZIP 75704-516
Phone: (903) 596-8100
Fax: (903) 596-8104
The provider's authorized official is Kevin King .
The authorized official title is Executive Director and has the following contact phone number (903) 596-8100.
The CLIA number assigned to this NPI record is 45D2195152 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/3/2015 and was last updated on 8/3/2015.