Individual provider · Type 1 NPI

Odile C. Bledsoe

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

NPI number 1841428596 Active

Practice location

1915 Heather Glen Dr
Dallas, TX 75232-2313

Call (214) 677-5221 Map

Fax (214) 330-6194

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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 1841428596

Odile C. Bledsoe's National Provider Identifier is 1841428596, issued on Jul 1, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Dallas, TX. The record was last updated on Aug 10, 2013.