Individual provider · Type 1 NPI

Demetria Renee Fairley

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Rosharon, TX

NPI number 1730507989 Active

Practice location

8310 Rose Petals Ln
Rosharon, TX 77583-1907

Other practice locations

  • 619 Rollingbrook St, Apt. 1802, Baytown, TX 77521-4061 · (512) 786-9470

Specialties and licenses

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.

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About NPI 1730507989

Demetria Renee Fairley's National Provider Identifier is 1730507989, issued on Apr 4, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Rosharon, TX. The record was last updated on Mar 15, 2021.