Provider Demographics
NPI:1518008242
Name:BAPTIST COMMUNITY SERVICES
Entity Type:Organization
Organization Name:BAPTIST COMMUNITY SERVICES
Other - Org Name:HARRINGTON ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VICE PRES., REGULATORY AFFAIRS
Authorized Official - Prefix:DR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:LANGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-337-5296
Mailing Address - Street 1:701 PARK PLACE AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79101-4005
Mailing Address - Country:US
Mailing Address - Phone:806-337-5296
Mailing Address - Fax:806-356-9586
Practice Address - Street 1:401 SW 12TH ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79101-4110
Practice Address - Country:US
Practice Address - Phone:806-337-4040
Practice Address - Fax:806-337-5075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119187310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility