Beverly Mayfield
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Irving, TX. Organization (NPI-2).
NPI number1184918468
StatusActive
Last updated in NPPESJun 4, 2011
Details
- NPI
- 1184918468
- Entity type
- Organization (NPI-2)
- Legal business name
- Beverly Mayfield
- Organization subpart
- No
- Enumeration date
- Jun 4, 2011
- Last updated
- Jun 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Other names
- B & M Loving Care (Doing Business As)
Practice location
1224 S Rogers Rd Apt 1224Irving, TX 75060-3765
Phone 469-735-0364
Mailing address
1224 S Rogers Rd Apt 1224Irving, TX 75060-3765
Phone 469-735-0364
Authorized official
Beverly Mayfield
Program Manager
4697350364
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