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A Unique Family Home LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Desoto, TX. Organization (NPI-2).

NPI number1871279877
StatusActive
Last updated in NPPESJun 26, 2023

Details

NPI
1871279877
Entity type
Organization (NPI-2)
Legal business name
A Unique Family Home LLC
Organization subpart
No
Enumeration date
Jun 26, 2023
Certification date
Dec 27, 2022
Last updated
Jun 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

313 Lakewood Dr
Desoto, TX 75115-3905

Phone 214-546-7974

Mailing address

313 Lakewood Dr
Desoto, TX 75115-3905

Phone 214-546-7974

Authorized official

Kecia Abram
Owner
2145467974

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