Lillian Birgen
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Forney, TX. Individual provider (NPI-1).
NPI number1043745854
StatusActive
Last updated in NPPESApr 30, 2017
Details
- NPI
- 1043745854
- Entity type
- Individual (NPI-1)
- Name
- Lillian Birgen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2017
- Last updated
- Apr 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
1302 Buckingham DrForney, TX 75126-6475
Phone 469-263-9889
Mailing address
1302 Buckingham DrForney, TX 75126-6475
Phone 469-263-9889
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