Individual provider · Type 1 NPI
Alice Lane
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Katy, TX
Practice location
6855 S Mason Rd Apt 1108
Katy, TX 77450-1233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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 1144788555
Alice Lane's National Provider Identifier is 1144788555, issued on Mar 5, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Katy, TX. The record was last updated on Mar 5, 2019.