Individual provider · Type 1 NPI
Leshawn Manus
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Pflugerville, TX
Practice location
1704 Brandon Keller Ct
Pflugerville, TX 78660-2959
Mailing address
301 S Heatherwilde Blvd Unit 2136
Pflugerville, TX 78691-3987
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.
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About NPI 1801370119
Leshawn Manus's National Provider Identifier is 1801370119, issued on Sep 21, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Pflugerville, TX. The record was last updated on Sep 21, 2018.