Dejuan D Howard
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mansfield, TX. Individual provider (NPI-1).
NPI number1487407102
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1487407102
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dejuan D Howard
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2024
- Certification date
- Apr 10, 2024
- Last updated
- Apr 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
1502 Piedmont DrMansfield, TX 76063-6046
Phone 817-896-2356
Mailing address
1502 Piedmont DrMansfield, TX 76063-6046
Phone 817-896-2356
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