CHAMPAGNE INCORPORATED is a community based residential treatment facility, intellectual and/or developmental disabilities in Lindale, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CHAMPAGNE INCORPORATED NPI is 1992873715. The provider is registered as an organization entity type.
The provider's business location address is:
405 N. MAIN STREET
LINDALE, TX
ZIP 75771
Phone: (903) 882-8337
Fax: (903) 882-1627
The provider's authorized official is Joy Champagne .
The authorized official title is President and has the following contact phone number (903) 882-8337.
The CLIA number assigned to this NPI record is 45D0959920 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/1/2006 and was last updated on 8/22/2020.