Organization · Type 2 NPI

Andre Hancock Sr. Family Group Home

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Red Oak, TX

NPI number 1396061685 Active

Practice location

1012 Farm Market Road 2377
Red Oak, TX 75154

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

About NPI 1396061685

Andre Hancock Sr. Family Group Home's National Provider Identifier is 1396061685, issued on Apr 13, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Red Oak, TX. The record was last updated on Apr 13, 2010.