Individual provider · Type 1 NPI
Benjamin Fombon
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mcallen, TX
Practice location
418 E La Vista Ave, Apt A
Mcallen, TX 78501-9562
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
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.
About NPI 1801231600
Benjamin Fombon's National Provider Identifier is 1801231600, issued on May 7, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Mcallen, TX. The record was last updated on May 7, 2013.