MAINSTREAM HABILITATION SERVICES OF TEXAS, INC.
Nursing at Mountain Ridge Ct, Fort Worth, TX

License number
Texas 116454
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
License number
Texas 112011
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
License number
Texas 116726
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
License number
Texas 116728
Category
Nursing
Type
Intermediate Care Facility, Mentally Retarded
Owner
Name: MRS. LISA ANN SMITH MBA
Title: DIRECTOR OF OPERATIONS
Phone: (940) 552-2979
Address
Address 2
717 Mountain Ridge Ct W, Fort Worth, TX 76135
1728 Pease St, Vernon, TX 76385
National Provider ID: 1679531503
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MAINSTREAM HABILITATION SERVICES OF TEXAS, INC. at bizstanding.com

MAINSTREAM HABILITATION SERVICES OF TEXAS, INC

Azle, TX  -  Vernon, TX

Industry:
Individual/Family Services, Job Training/Related Services
Doing business as:
Denver Trail<br>Elm Court<br>Mainstream Habiliation Services of Texas, Inc<br>Mainstream Habilitation Services of Texas, Inc<br>Mountain Ridge<br>Tanglewood
Registration:
Mar 26, 1990
Addresses:
PO Box 1035, Azle, TX 76098 (Mailing)
PO Box 1677, Vernon, TX 76385
State ID:
0114801900
Business type:
Domestic For-Profit Corporation
Director, Vice Presidents:
Carole Boyd (SECRETARY, Director, Secretary, Treasurer), PO Box 1035, Azle, TX 76098,Lisa Henry (DIRECTOR, Director, President), PO Box 1035, Azle, TX 76098,Larry Cotton President, Director, inactive,...
Agent:
Lisa A Henry,301 Commerce St, Azle, TX 76020 (Physical)
TIN:
17523315616

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