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GULF BEND MRMR CENTER ICF/MR
NPI 1932139979
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Port Lavaca, TX

Active since July 04, 2006
102 BURNET ST, PORT LAVACA, TX 77979(361) 575-0611(361) 582-2329 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gulf Bend Mrmr Center Icf/mr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GULF BEND MRMR CENTER ICF/MR (NPI 1932139979) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Port Lavaca, Texas and active in the NPI registry since July 2006. The organization lists Donald L Polzin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1932139979
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameGULF BEND MRMR CENTER ICF/MR
Location Address102 BURNET STPort Lavaca, TX 77979-2611
Mailing Address1502 E Airline Rd, Suite 25Victoria, TX 77901-4112 · (361) 575-0611 · Fax (361) 582-2329
Phone(361) 575-0611
Fax(361) 582-2329
Organization SubpartNo
Authorized OfficialDonald L PolzinExecutive Director · (361) 575-0611
Enumeration DateJuly 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1932139979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

102 BURNET ST, Port Lavaca, TX 77979
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gulf Bend Mrmr Center Icf/Mr's NPI number?

The NPI number for Gulf Bend Mrmr Center Icf/Mr is 1932139979. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Gulf Bend Mrmr Center Icf/Mr located?

Gulf Bend Mrmr Center Icf/Mr is located at 102 Burnet St, Port Lavaca, TX 77979. The listed phone number is (361) 575-0611.

What is Gulf Bend Mrmr Center Icf/Mr's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Gulf Bend Mrmr Center Icf/Mr was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.