Organization · NPI-2

Place Called Home (Residential Care)

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Cedar Hill, TX

NPI number1689807802

StatusActive

Last updated in NPPESJan 23, 2012

Details

NPI: 1689807802
Entity type: Organization (NPI-2)
Legal business name: Place Called Home (Residential Care)
Organization subpart: No
Enumeration date: Sep 4, 2009
Last updated: Jan 23, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–	Yes
320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
320700000X	Residential Treatment Facility, Physical Disabilities	–	–
320800000X	Community Based Residential Treatment Facility, Mental Illness	–	–

Practice location

1727 Stafford Ct
Cedar Hill, TX 75104-4922

Phone 972-293-3600 · Fax 972-636-8073

Mailing address

1727 Stafford Ct
Cedar Hill, TX 75104-4922

Phone 972-293-3600 · Fax 972-636-8073

Authorized official

Sharon D. Williams
Administrator
9722933600

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