Clara Residential Home, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Forney, TX. Organization (NPI-2).
NPI number1447797246
StatusActive
Last updated in NPPESJan 31, 2017
Details
- NPI
- 1447797246
- Entity type
- Organization (NPI-2)
- Legal business name
- Clara Residential Home, LLC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2017
- Last updated
- Jan 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | TX | Yes |
Practice location
1302 Buckingham DrForney, TX 75126-6475
Phone 214-212-7002
Mailing address
1302 Buckingham DrForney, TX 75126-6475
Phone 214-212-7002
Authorized official
Faith Chesire
Director
2142127002
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