Individual provider · Type 1 NPI
Jacorea Breon Taylor
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Conroe, TX
Practice location
1727 Park Oak Dr
Conroe, TX 77304-1777
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 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.
About NPI 1467067538
Jacorea Breon Taylor's National Provider Identifier is 1467067538, issued on Sep 15, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Conroe, TX. The record was last updated on Sep 15, 2020.