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A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320600000X | |||
Residential Treatment Facility, Physical Disabilities |
320700000X |
| NPI # | 1134564131 |
| LBN Legal business name | PANOLA CARE, CLA |
| Authorized official | CAROL TAVARES - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/03/2013 |
| Last updated | 05/03/2013 - About 13 years ago |
| Identifiers | n/a |
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PANOLA CARE, CLA