Empowerment Residence
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cedar Hill, TX. Organization (NPI-2).
NPI number1972386050
StatusActive
Last updated in NPPESAug 15, 2023
Details
- NPI
- 1972386050
- Entity type
- Organization (NPI-2)
- Legal business name
- Empowerment Residence
- Organization subpart
- No
- Enumeration date
- Aug 14, 2023
- Certification date
- Aug 15, 2023
- Last updated
- Aug 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
1525 Summerwood LnCedar Hill, TX 75104-3901
Phone 630-715-4094
Mailing address
1525 Summerwood LnCedar Hill, TX 75104-3901
Phone 630-715-4094
Authorized official
Shannon Ford
Owner
6307154094
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