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Texas HHSC regulated location/provider

BRECKENRIDGE VILLAGE OF TYLER DE WET HOUSE

ICF/IID regulated location. This record identifies a regulated provider/location at the source grain.

Regulator
Texas Health and Human Services Commission (HHSC)
Provider class
ICF/IID regulated location
Texas HHSC Facility ID
003860
TrustHub location identity
TX|HHSC|TX_ICF_IID|003860
Recorded location
15062 COUNTY ROAD 1145, TYLER, TX, 75704 · SMITH County
Facility Licensed, as reported
YES
Facility Certified, as reported
YES
License number
146741
License effective date
2025-09-16
License expiration date
2028-09-16
Organization linkage
Not established
Source update date
2026-09-29
Official source
Texas HHSC provider directory

Source status and license facts are reported separately. A license number is not a corporate identity or a CMS CCN.

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