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. |
Post Comment/ Review Below
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.