Organization · Type 2 NPI

Shacklefree Ministries

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

NPI number 1356695480 Active

Practice location

409 N Fredonia St, Suite 116
Longview, TX 75601-6466

Call (903) 917-6632 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.

3 other providers at this address

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About NPI 1356695480

Shacklefree Ministries's National Provider Identifier is 1356695480, issued on Oct 26, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Longview, TX. The record was last updated on Oct 26, 2012.