Individual provider · Type 1 NPI

Shirley Levone Andersonbentley

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

NPI number 1902008410 Active

Practice location

711 Martin Ln
Missouri City, TX 77489-1424

Call (713) 398-1718 Map

Fax (281) 261-2962

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 1902008410

Shirley Levone Andersonbentley's National Provider Identifier is 1902008410, issued on Jun 5, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Missouri City, TX. The record was last updated on Jul 8, 2007.