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General NPI Number Information
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NPI Number | 1497808836
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Entity Type | Organization
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Legal Business Name | HEART OF CENTRAL TEXAS INDEPENDENT LIVING CENTER, INC.
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 2005 COMMERCE ST
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City | BELTON
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State | TX
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Zip | 76513-1968
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Country | US
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Telephone | 254-933-7487
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Fax | 254-933-7466
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Provider Business Mailing Address
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Address Line | PO BOX 636
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City | BELTON
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State | TX
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Zip | 76513-0636
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Country | US
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Telephone | 254-933-7487
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Fax | 254-933-7466
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MELISSA INGRIOLA
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Credential |
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Telephone | 254-933-7487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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