| Corpus Christi State Supported Living Center | |
|
902 Airport Rd Corpus Christi TX 78405-3513 | |
| (361) 888-5301 | |
| (361) 844-7910 |
| Full Name | Corpus Christi State Supported Living Center |
|---|---|
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
| Location | 902 Airport Rd, Corpus Christi, Texas |
| Authorized Official Name and Position | Scott Schalchlin (ASSOCIATE COMMISSIONER) |
| Authorized Official Contact | 5124383076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corpus Christi State Supported Living Center Po Box 9297 Corpus Christi TX 78469-9297 Ph: (361) 888-5301 | Corpus Christi State Supported Living Center 902 Airport Rd Corpus Christi TX 78405-3513 Ph: (361) 888-5301 |
| NPI Number | 1134208952 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 02/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134208952 | NPI | - | NPPES |
| 000711101 | Medicaid | TX |
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