D&S Residential Services, LP
Intermediate Care Facility, Intellectual Disabilities in Abilene, TX. Organization (NPI-2).
NPI number1871709543
StatusActive
Last updated in NPPESMar 4, 2023
Details
- NPI
- 1871709543
- Entity type
- Organization (NPI-2)
- Legal business name
- D&S Residential Services, LP
- Organization subpart
- Yes
- Enumeration date
- May 16, 2007
- Certification date
- Mar 4, 2023
- Last updated
- Mar 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 001014264 | TX | Yes |
Other names
- Mesquite Villa (Doing Business As)
Practice location
2234 A Amy Lyn AvenueAbilene, TX 79603
Phone 325-676-5662 · Fax 512-327-5355
Mailing address
8911 North Capital Of Texas HighwayBuilding 1, Suite 1300
Austin, TX 78759-7203
Phone 512-327-2325 · Fax 512-263-2161
Authorized official
Brett Ian Cohen
Coo
8003885150
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