Provider Demographics
NPI:1982649687
Name:HILL COUNTRY SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:HILL COUNTRY SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:KING
Authorized Official - Last Name:STANDIFER
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:512-773-7047
Mailing Address - Street 1:PO BOX 1428
Mailing Address - Street 2:
Mailing Address - City:MANCHACA
Mailing Address - State:TX
Mailing Address - Zip Code:78652-1428
Mailing Address - Country:US
Mailing Address - Phone:512-916-0600
Mailing Address - Fax:512-916-0607
Practice Address - Street 1:358 E FM 1626
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-3909
Practice Address - Country:US
Practice Address - Phone:512-916-0600
Practice Address - Fax:512-916-0607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services