A Step From Home
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Grand Prairie, TX. Organization (NPI-2).
NPI number1912632316
StatusActive
Last updated in NPPESJul 19, 2022
Details
- NPI
- 1912632316
- Entity type
- Organization (NPI-2)
- Legal business name
- A Step From Home
- Organization subpart
- No
- Enumeration date
- Jul 19, 2022
- Certification date
- Jul 19, 2022
- Last updated
- Jul 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
7536 Brooklake DrGrand Prairie, TX 75054-6527
Phone 214-552-8927
Mailing address
7536 Brooklake DrGrand Prairie, TX 75054-6527
Phone 214-552-8927
Authorized official
Camesheon Adinnu
Managing Member
2145528927
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