SearchTexasIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Andre Macedon

NPI 1952548158 · on the registry since 2009 · sole proprietor

Practice

Address
1614 Skyline Dr
Garland, TX 75043
Phone
(214) 703-5115

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas