Individual provider · Type 1 NPI
Lakendra Danielle Coffman, BSW
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Stafford, TX
Practice location
2011 Nashua Dr
Stafford, TX 77477-6470
Fax (281) 677-4220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None 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 1639512189
Lakendra Danielle Coffman, BSW's National Provider Identifier is 1639512189, issued on Apr 15, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Stafford, TX. The record was last updated on Apr 17, 2013.