Individual provider · Type 1 NPI
Valarie Edwards
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · San Augustine, TX
Practice location
502 E Planters St
San Augustine, TX 75972-2142
Mailing address
12630 Twilight Bend Ct
Houston, TX 77086-1942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | None listed |
| Adult Care Home Facility | 311ZA0620X | None listed |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | None listed |
| Community Based Hospice Care Agency | 251G00000X | None listed |
| Assisted Living Facility | 310400000X | None listed |
| Custodial Care Facility | 311Z00000X | 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 1487227989
Valarie Edwards's National Provider Identifier is 1487227989, issued on Jul 21, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in San Augustine, TX. The record was last updated on Sep 29, 2023.