Individual provider · Type 1 NPI
Rachel Elizabeth Moreno
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Tyler, TX
Practice location
8333 County Road 381
Tyler, TX 75708-5733
Mailing address
13296 FM 16 E
Winona, TX 75792-5308
Other practice locations
- 13296 FM 16 E, Winona, TX 75792-5308 · (903) 570-2814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | None listed |
| Home Modifications Contractor | 171WH0202X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Tyler
About NPI 1396327805
Rachel Elizabeth Moreno's National Provider Identifier is 1396327805, issued on Apr 23, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Tyler, TX. The record was last updated on Apr 23, 2021.