Organization · Type 2 NPI

Sheila Isaac

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

NPI number 1750491791 Active

Practice location

409 S Main St, Suite A
Longview, TX 75601-7432

Call (903) 758-9886 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X87Y/0000HO87Y (TX)

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 1750491791

Sheila Isaac's National Provider Identifier is 1750491791, issued on Aug 30, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Longview, TX. The record was last updated on Jul 21, 2007.