1st A & M Healthcare Services
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Desoto, TX. Organization (NPI-2).
NPI number1124673553
StatusActive
Last updated in NPPESAug 2, 2019
Details
- NPI
- 1124673553
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st A & M Healthcare Services
- Organization subpart
- No
- Enumeration date
- Aug 2, 2019
- Last updated
- Aug 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
504 Spicewood DrDesoto, TX 75115-1485
Phone 214-499-3324
Mailing address
504 Spicewood DrDesoto, TX 75115-1485
Phone 214-499-3324
Authorized official
Andre Bernard Mccaskill
Owner
2144993324
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