| Austin State Supported Living Center | |
|
2203 W 35th St Austin TX 78703-1203 | |
| (512) 454-4731 | |
| (512) 459-5352 |
| Full Name | Austin State Supported Living Center |
|---|---|
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
| Location | 2203 W 35th St, Austin, 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 |
|---|---|
| Austin State Supported Living Center 2203 W 35th St Austin TX 78703-1203 Ph: (512) 454-4731 | Austin State Supported Living Center 2203 W 35th St Austin TX 78703-1203 Ph: (512) 454-4731 |
| NPI Number | 1811082654 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 11/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811082654 | NPI | - | NPPES |
| 000710101 | Medicaid | TX |
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