Gulf Bend Mrmr Center Icf/Mr

LBN: Gulf Bend Mrmr Center Icf/Mr
Gulf Bend Mrmr Center Icf/Mr is an health care organization with primary practice located at 102 Burnet St , Port Lavaca TX 77979-2611. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Gulf Bend Mrmr Center Icf/Mr can be contacted via phone (361) 575-0611, or through Polzin, Donald L via phone (361) 575-0611.

Contact Information

Primary practice address
102 Burnet St Port Lavaca TX 77979-2611
Phone: (361) 575-0611
Fax: (361) 582-2329
Website:
Map and Directions
Authorized official contact:
Name: Polzin, Donald L
Phone: (361) 575-0611

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1932139979
LBN Legal business name Gulf Bend Mrmr Center Icf/Mr
DBA Doing business as
Authorized official Polzin, Donald L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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