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Texas HHSC regulated location/provider

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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
003871
TrustHub location identity
TX|HHSC|TX_ICF_IID|003871
Recorded location
1302 W CYPRESS AVE, ORANGE, TX, 77630 · ORANGE County
Facility Licensed, as reported
YES
Facility Certified, as reported
YES
License number
148540
License effective date
2024-08-01
License expiration date
2027-08-01
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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