Taxonomy Code 320600000X(320600000x)
Intellectual and/or Developmental Disabilities Residential Treatment Facility. Providers: 1

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Intellectual and/or Developmental Disabilities Residential Treatment Facility Providers

NPI Name Type Address

1659671147

Tanita Shanta Sullivan

Individual

13985 Broken Arrow Dr

Willis, TX

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 320600000X
Display Name Intellectual and/or Developmental Disabilities Residential Treatment Facility
Taxonomy Group Residential Treatment Facilities
Taxonomy Classification Residential Treatment Facility, Intellectual and/or Developmental Disabilities
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.
Effective Date September 30, 2009
Modification Date September 30, 2009
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