2525 Preston Avenue
Intermediate care facility for individuals with intellectual disabilities in Tyler, TX, Medicare certification number 45G872.
Medicare certification
Provider of Services- CCN
- 45G872
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (proprietary)
- Participating since
- Dec 17, 1991
- Last certification
- Aug 15, 2024
- Beds
- 6
- Address
- 2525 Preston Avenue
Tyler, TX 75701
(903) 595-4430
NPI records for this facility (CCN to NPI Mapping) 1
-
dba 2525 Preston Avenue
- Intellectual Disabilities Intermediate Care Facility
- Tyler, TX
- NPI 1568063527
Name & address match
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.