Individual provider · Type 1 NPI
Jackie D. Henderson
Physical Disabilities Residential Treatment Facility · Dallas, TX
NPI number
1376192823
Active
Practice location
7041 Hedgebrook Dr
Dallas, TX 75249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | None listed |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Another provider at this address
Other physical disabilities residential treatment facility providers in Dallas
About NPI 1376192823
Jackie D. Henderson's National Provider Identifier is 1376192823, issued on Sep 7, 2019. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Dallas, TX. The record was last updated on Sep 7, 2019.