Marilyn Dickerson in Houston - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Marilyn Dickerson - NPI 1609073600

Marilyn Dickerson is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Houston, Texas. Marilyn Dickerson practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Marilyn Dickerson is 1609073600. The last update date is 2007-12-17.

Marilyn Dickerson's current location address is 8910 Marinette Dr, Houston, Texas. You can contact this provider via phone number 7139884871 and fax number 7139886117. The mailing address for Marilyn Dickerson is 8910 Marinette Dr, Houston, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Marilyn Dickerson
Address 8910 Marinette Dr, Houston, Texas
Phone Number 7139884871
Fax Number 7139886117
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER - MA
Authorized Official Name Dickerson Faye Marilyn
Credentials REGISTERED
Telephone Number 7139884871

NPI Number Detail

NPI Number 1609073600
Provider Enumeration Date 2007-07-02
Last Updated Date 2007-12-17

Provider Mailing Address Detail

Address 8910 Marinette Dr
City Houston
State Texas (TX)
Post Code 770746806
Phone Number 7139884871
Fax Number 7139886117

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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FAQs about Marilyn Dickerson

What is the unique 10-digit identification code issued to Marilyn Dickerson by the Centers for Medicare & Medicaid Services?

The Marilyn Dickerson has been assigned the NPI (National Provider Identifier) 1609073600 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Marilyn Dickerson's facilities are geographically located?

The facilities of Marilyn Dickerson are physically situated at the following location: 8910 Marinette Dr, Houston, TX, 770746806.

What is Marilyn Dickerson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Marilyn Dickerson's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1609073600 to Marilyn Dickerson?

The Centers for Medicare & Medicaid Services assigned the 1609073600 to Marilyn Dickerson on 2007-07-02.

As of what date were the details pertaining to Marilyn Dickerson last refreshed?

The information related to the Marilyn Dickerson, including its address, specialty, and other relevant details, was last updated on 2007-12-17.

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