Abiodun Gloria Irabor-Musa
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Garland, TX. Individual provider (NPI-1).
NPI number1699259697
StatusActive
Last updated in NPPESSep 17, 2018
Details
- NPI
- 1699259697
- Entity type
- Individual (NPI-1)
- Name
- Abiodun Gloria Irabor-Musa
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2018
- Last updated
- Sep 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
3106 Centennial DrGarland, TX 75042
Phone 214-778-9052
Mailing address
3035 Brookshire DrPlano, TX 75075
Phone 214-778-9052
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