Horizon Residential Services
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Grand Prairie, TX. Organization (NPI-2).
NPI number1912106014
StatusActive
Last updated in NPPESJul 17, 2007
Details
- NPI
- 1912106014
- Entity type
- Organization (NPI-2)
- Legal business name
- Horizon Residential Services
- Organization subpart
- No
- Enumeration date
- Jul 17, 2007
- Last updated
- Jul 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2100 S Great Southwest PkwySuite 601
Grand Prairie, TX 75051-3543
Phone 817-323-0821
Mailing address
2100 S Great Southwest PkwySuite 601
Grand Prairie, TX 75051-3543
Phone 817-323-0821
Authorized official
Steve Ike Ikenyei
President
8173230821
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