Organization · Type 2 NPI

Lucille's Palace, LLC

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

NPI number 1851924203 Active

Practice location

3361 Harmon Rd Unit 2110
Mansfield, TX 76063-5764

Call (817) 403-8465 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XNone listed
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 1851924203

Lucille's Palace, LLC's National Provider Identifier is 1851924203, issued on Feb 13, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Mansfield, TX. The record was last updated on Jun 5, 2023.