Individual provider · Type 1 NPI
Connie Fulbright
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lubbock, TX
Practice location
4805 16th St
Lubbock, TX 79416-5623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 117319 (TX) |
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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Lubbock
About NPI 1912065210
Connie Fulbright's National Provider Identifier is 1912065210, issued on Dec 5, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Lubbock, TX. The record was last updated on Jul 8, 2007.