Professional Care Facility in Dallas - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Professional Care Facility - NPI 1114123015
Professional Care Facility is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Dallas, Texas. Professional Care Facility practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Professional Care Facility is 1114123015. The last update date is 2007-08-28.
Professional Care Facility's current location address is 6327 Teague Dr, Dallas, Texas. You can contact this provider via phone number 2143723690 and fax number 9722245589. The mailing address for Professional Care Facility is 6327 Teague Dr, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Care Facility |
|---|---|
| Address | 6327 Teague Dr, Dallas, Texas |
| Phone Number | 2143723690 |
| Fax Number | 9722245589 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Askew Denise Latondra |
| Telephone Number | 4698778557 |
NPI Number Detail
| NPI Number | 1114123015 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 6327 Teague Dr |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752414844 |
| Phone Number | 2143723690 |
| Fax Number | 9722245589 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 30258 |
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Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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What is the unique identifier code issued to Professional Care Facility by the Centers for Medicare & Medicaid Services (CMS)?
The Professional Care Facility has been assigned the NPI (National Provider Identifier) 1114123015. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Professional Care Facility's physical address?
The Professional Care Facility is physically located at 6327 Teague Dr, in the city of Dallas, TX, with the postal code 752414844.
What is the Professional Care Facility's area of specialization and corresponding taxonomy classification?
The Professional Care Facility's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.
On what date did the Professional Care Facility receive the assignment of its 1114123015 from the Centers for Medicare & Medicaid Services?
The Professional Care Facility was issued its 1114123015 by the Centers for Medicare & Medicaid Services on 2007-06-26.
As of what date were the Professional Care Facility's details last updated?
The information pertaining to the Professional Care Facility, including its address, specialty, and other details, was most recently updated on 2007-08-28.