Search › Texas › Intellectual 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