Individual provider · Type 1 NPI

Jamier M. Tatum

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Longview, TX

NPI number 1033924089 Active

Practice location

3549 Gilmer Rd Ste I
Longview, TX 75604-1216

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed
Home Health Agency 251E00000XNone listed
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Local Education Agency (LEA) 251300000XNone listed
Child Physical Disabilities Respite Care 385HR2065XNone listed
Respite Care 385H00000XNone listed
Nursing Care Agency 251J00000XNone listed
Case Management Agency 251B00000XNone listed
Developmentally Disabled Services Day Training Agency 251C00000XNone listed
Foster Care Agency 253J00000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1033924089

Jamier M. Tatum's National Provider Identifier is 1033924089, issued on Feb 7, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Longview, TX. The record was last updated on Sep 17, 2026.