Individual provider · Type 1 NPI
Gregory D. Shead
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Houston, TX
Practice location
14511 Jessica Falls Cir
Houston, TX 77044-4969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility | 311ZA0620X | None listed |
| Day Training/Habilitation Specialist | 373H00000X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
| 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.
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About NPI 1740879782
Gregory D. Shead's National Provider Identifier is 1740879782, issued on Jan 14, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Houston, TX. The record was last updated on Jan 14, 2021.