Individual provider · Type 1 NPI

Roshunda Christine Wooden

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

NPI number 1366188310 Active

Practice location

4601 Catamaran Dr Apt 921
Fort Worth, TX 76135-2583

Mailing address

3154 Old Hickory Trl
Forest Hill, TX 76140-1872

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide 376K00000XNone listed
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 1366188310

Roshunda Christine Wooden's National Provider Identifier is 1366188310, issued on May 11, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 13, 2023.