Individual provider · Type 1 NPI

Latonia Rochelle Jennings, RN

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

NPI number 1184857666 Active

Practice location

7104 Cloverglen Dr
Dallas, TX 75249-1433

Call (972) 523-5043 Map

Fax (972) 227-9068

Mailing address

821 Quail Run Ln
Lancaster, TX 75146-2844

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

Another provider at this address

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Dallas

See all in Dallas →

About NPI 1184857666

Latonia Rochelle Jennings, RN's National Provider Identifier is 1184857666, issued on Aug 31, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Dallas, TX. The record was last updated on Aug 31, 2009.