Organization · Type 2 NPI

Shalom Coker 24 Hours Special Needs Daycare

Intellectual Disabilities Intermediate Care Facility · Grand Prairie, TX

NPI number 1720496409 Active

Practice location

3103 Gregory Ln
Grand Prairie, TX 75052-5742

Call (972) 374-6955 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XLVN#221824 (TX)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1720496409

Shalom Coker 24 Hours Special Needs Daycare's National Provider Identifier is 1720496409, issued on Jul 25, 2014. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Grand Prairie, TX. The record was last updated on Jul 25, 2014.