Individual provider · Type 1 NPI

Laquanita Shanel Campbell

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

NPI number 1093991069 Active

Practice location

6814 Stableton Ln
Houston, TX 77049-2054

Call (713) 548-7438 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000XNone listed
Physical Disabilities Residential Treatment Facility 320700000XNone listed
Psychiatric Residential Treatment Facility 323P00000XNone listed
Children's Substance Abuse Rehabilitation Facility 3245S0500XNone listed
Licensed Vocational Nurse 164X00000X210151 (TX)

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 1093991069

Laquanita Shanel Campbell's National Provider Identifier is 1093991069, issued on Jan 21, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Houston, TX. The record was last updated on Jul 26, 2012.