Mjm Innovative Living Of North Texas,Llc in Justin - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Mjm Innovative Living Of North Texas,Llc - NPI 1811055791
Mjm Innovative Living Of North Texas,Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Justin, Texas. Mjm Innovative Living Of North Texas,Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Mjm Innovative Living Of North Texas,Llc is 1811055791. The last update date is 2020-08-22.
Mjm Innovative Living Of North Texas,Llc's current location address is 1833 Shasta View Dr, Justin, Texas. You can contact this provider via phone number 4692520116. The mailing address for Mjm Innovative Living Of North Texas,Llc is 1833 Shasta View Dr, Justin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mjm Innovative Living Of North Texas,Llc |
|---|---|
| Address | 1833 Shasta View Dr, Justin, Texas |
| Phone Number | 4692520116 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTAT |
|---|---|
| Authorized Official Name | Slaughter L Eddie |
| Telephone Number | 4692520116 |
NPI Number Detail
| NPI Number | 1811055791 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1833 Shasta View Dr |
|---|---|
| City | Justin |
| State | Texas (TX) |
| Post Code | 762475712 |
| Phone Number | 4692520116 |
| Fax Number |
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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What is the Mjm Innovative Living Of North Texas,Llc's 1811055791?
The Mjm Innovative Living Of North Texas,Llc's NPI (National Provider Identifier) Number is 1811055791. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mjm Innovative Living Of North Texas,Llc is located?
The Mjm Innovative Living Of North Texas,Llc is situated at the following address: 1833 Shasta View Dr, Justin, TX, 762475712.
What is Mjm Innovative Living Of North Texas,Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mjm Innovative Living Of North Texas,Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
On what date did the Mjm Innovative Living Of North Texas,Llc receive its 1811055791 assignment from the Centers for Medicare & Medicaid Services?
The Mjm Innovative Living Of North Texas,Llc was assigned its 1811055791 by the Centers for Medicare & Medicaid Services on 2006-12-04.
When was the information pertaining to Mjm Innovative Living Of North Texas,Llc most recently updated or revised?
The details related to Mjm Innovative Living Of North Texas,Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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