| Brenham State Supported Living Center | |
|
4001 Highway 36 S Brenham TX 77833-9610 | |
| (979) 836-4511 | |
| (979) 277-1865 |
| Full Name | Brenham State Supported Living Center |
|---|---|
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
| Location | 4001 Highway 36 S, Brenham, 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 |
|---|---|
| Brenham State Supported Living Center 4001 Highway 36 S Brenham TX 77833-9610 Ph: (979) 836-4511 | Brenham State Supported Living Center 4001 Highway 36 S Brenham TX 77833-9610 Ph: (979) 836-4511 |
| NPI Number | 1114006921 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 02/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114006921 | NPI | - | NPPES |
| 000711001 | Medicaid | TX | |
| 0058ML | Other | TX | BCBSTX |
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