Individual provider · Type 1 NPI

Hirut Hailu

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

NPI number 1275890550 Active

Practice location

9809 Richmond Ave, Unit # G7
Houston, TX 77042-4563

Call (713) 823-3824 Map

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.

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About NPI 1275890550

Hirut Hailu's National Provider Identifier is 1275890550, issued on Apr 11, 2012. 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 Apr 11, 2012.