Individual provider · Type 1 NPI
Tula Desha Jefferson, RN
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Humble, TX
Practice location
14823 Winston Falls Ln
Humble, TX 77396-6073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 867767 (TX) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1144604 (TX) |
| 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.
Another provider at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Humble
About NPI 1881343713
Tula Desha Jefferson, RN's National Provider Identifier is 1881343713, issued on Mar 19, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Humble, TX. The record was last updated on Jul 12, 2024.