Individual provider · Type 1 NPI

Estifanos Abebe

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Round Rock, TX

NPI number 1417403379 Active

Practice location

1826 Rachel Ln
Round Rock, TX 78664-7455

Mailing address

1826 Rachel Lane
Round Rock, TX 78664

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X141177 (TX)

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.

Another provider at this address

About NPI 1417403379

Estifanos Abebe's National Provider Identifier is 1417403379, issued on Aug 31, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Round Rock, TX. The record was last updated on Nov 3, 2016.