Individual Care of Texas, Inc
Organization Active NPI Assisted Living Facility · Quinlan, TX
NPI 1124195524 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1124195524
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 115880 (TX)
- Legal business name
- INDIVIDUAL CARE OF TEXAS, INC
- Practice address
- 1655 P.R. 2530
Quinlan, TX 75474-1810 - Phone
- (903) 356-4526
- Fax
- (903) 356-4544
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Sandra E Petersen
- Title
- Vice-President
- Phone
- (972) 771-2350
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 115880 | TX | Yes |
Addresses
Primary practice location
1655 P.R. 2530
Quinlan, TX 75474-1810
Mailing address
P O Box 1419
Rockwall, TX 75087-1419
Phone (972) 771-2350
Other providers in Quinlan, TX
- Amy Dionne Harris
- Health Texas Provider Network
- Hunt County Medical Properties
- Hunt Memorial Hospital District
- Hunt Regional Medical Partners
- Troy M Kelly
- Kamiann Kimberly King
- Megan Bianca Kubvaruno
- Kimberly Autumn Lewis
- Lone Star Wellness
All providers in Quinlan, TX · Assisted Living Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.