NPI 1538360144

Champagne, INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Lindale, TX

Practice location

Address: 314 Jefferies St, Lindale, TX 75771-8208
Phone: (903) 882-8337
Fax: (903) 882-1627
Mailing address: PO Box 1749, Lindale, TX 75771-1749

Authorised official

Name: Joy Champagne
Title: Owner
Phone: (903) 882-8337

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 117423 (TX)

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Registry record

NPI: 1538360144
Entity type: Organization
NPI issued: 30 May 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.