| Community Living Concepts, Inc | |
|
110 East Walnut St Keene TX 76059 | |
| (817) 558-9559 | |
| (817) 928-1676 |
| Full Name | Community Living Concepts, Inc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 110 East Walnut St, Keene, Texas |
| Authorized Official Name and Position | Kyle Hannah (CEO) |
| Authorized Official Contact | 8175589559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Living Concepts, Inc 110 East Walnut St Keene TX 76059 Ph: (817) 558-9559 | Community Living Concepts, Inc 110 East Walnut St Keene TX 76059 Ph: (817) 558-9559 |
| NPI Number | 1316002439 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316002439 | NPI | - | NPPES |
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