NPI 1003951922

East Texas Community Services for the Developmentally Disabled, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Orange, TX

Practice location

Address: 2204 North 24th St, Orange, TX 77630-3115
Phone: (409) 886-5950
Fax: (409) 886-5587
Mailing address: PO Box 2185, Silsbee, TX 77656-2185

Authorised official

Name: D Michael Johnson
Title: President
Phone: (409) 385-2626

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 7482 (TX)

Other Intermediate Care Facility, Intellectual Disabilities providers in Texas →

Registry record

NPI: 1003951922
Entity type: Organization
NPI issued: 20 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.