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BOB WILSON MINISTRIES NPI 1417174178


NPI Information

NPI: 1417174178
Provider Name: BOB WILSON MINISTRIES

Doing Business As: MEADOWS HOUSE RANCH

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
6585 S FM 183
EVANT, TX
ZIP 76525
Phone: (254) 471-5709
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BOB WILSON MINISTRIES is a substance abuse rehabilitation facility in Evant, TX. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BOB WILSON MINISTRIES NPI is 1417174178. The provider is registered as an organization entity type.
The provider Is Doing Business As Meadows House Ranch.

The provider's business location address is:

6585 S FM 183
EVANT, TX
ZIP 76525
Phone: (254) 471-5709
Fax: (254) 471-5710

The provider's authorized official is Dewayne Elton Brawner .
The authorized official title is Chief Administrative Officer and has the following contact phone number (254) 471-5709.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility2526ATEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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