BRECKENRIDGE VILLAGE is an intermediate care facility mentally retarded in Tyler, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. BRECKENRIDGE VILLAGE NPI is 1477748010. The provider is registered as an organization entity type.
The provider Is Doing Business As Breckenridge Village Of Tyler.
The provider's business location address is:
15062 COUNTY ROAD 1145
TYLER, TX
ZIP 75704-516
Phone: (903) 956-8100
Fax: (903) 956-8104
The provider's authorized official is Steven Campbell .
The authorized official title is Executive Director and has the following contact phone number (903) 596-8100.
The enumeration date for this NPI number is 9/6/2007 and was last updated on 8/26/2019.