Organization · Type 2 NPI
Tracie Ellen Angelly
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Whitt, TX
Practice location
411 Brumbelow Rd
Whitt, TX 76490-2306
Fax (940) 798-4412
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 | 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.
About NPI 1194881276
Tracie Ellen Angelly's National Provider Identifier is 1194881276, issued on Dec 31, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Whitt, TX. The record was last updated on Aug 22, 2020.