Organization · NPI-2
Harbor Place LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Cedar Hill, TX
NPI number1487354676
StatusActive
Last updated in NPPESJun 5, 2023
Details
- NPI
- 1487354676
- Entity type
- Organization (NPI-2)
- Legal business name
- Harbor Place LLC
- Organization subpart
- No
- Enumeration date
- Mar 6, 2023
- Certification date
- Jun 5, 2023
- Last updated
- Jun 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – |
Practice location
1248 Highview DrCedar Hill, TX 75104-5454
Phone 214-215-8590
Mailing address
1248 Highview DrCedar Hill, TX 75104-5454
Phone 214-215-8590
Authorized official
Denice D Byrd
Owner
2142158590
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