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: 007401
TrustHub location identity: TX|HHSC|TX_ICF_IID|007401
Recorded location: 1706 IDAHO AVENUE, SAN ANGELO, TX, 76904 · TOM GREEN County
Facility Licensed, as reported: YES
Facility Certified, as reported: YES
License number: 313078
License effective date: 2026-04-01
License expiration date: 2029-04-01
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.