Tracie Ellen Angelly in Whitt - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Tracie Ellen Angelly - NPI 1194881276
Tracie Ellen Angelly is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Whitt, Texas. Tracie Ellen Angelly practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Tracie Ellen Angelly is 1194881276. The last update date is 2020-08-22.
Tracie Ellen Angelly's current location address is 411 Brumbelow Rd, Whitt, Texas. You can contact this provider via phone number 9408591955 and fax number 9407984412. The mailing address for Tracie Ellen Angelly is 411 Brumbelow Rd, Whitt, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tracie Ellen Angelly |
|---|---|
| Address | 411 Brumbelow Rd, Whitt, Texas |
| Phone Number | 9408591955 |
| Fax Number | 9407984412 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Angelly Ellen Tracie |
| Telephone Number | 9408591955 |
NPI Number Detail
| NPI Number | 1194881276 |
|---|---|
| Provider Enumeration Date | 2006-12-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 411 Brumbelow Rd |
|---|---|
| City | Whitt |
| State | Texas (TX) |
| Post Code | 764902306 |
| Phone Number | 9408591955 |
| Fax Number | 9407984412 |
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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Post Comment/ Review Below
What is the Tracie Ellen Angelly's unique identification number?
The Tracie Ellen Angelly has been assigned the NPI (National Provider Identifier) Number 1194881276 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Tracie Ellen Angelly is physically located?
The Tracie Ellen Angelly is situated at the following address: 411 Brumbelow Rd, Whitt, TX 764902306.
What is the Tracie Ellen Angelly's specialty and taxonomy code?
The Tracie Ellen Angelly's specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.
On what date did the Tracie Ellen Angelly receive its 1194881276 assignment from the Centers for Medicare & Medicaid Services?
The Tracie Ellen Angelly was assigned its 1194881276 by the Centers for Medicare & Medicaid Services on 2006-12-31.
When was the Tracie Ellen Angelly's information last updated?
The Tracie Ellen Angelly's information was last updated on 2020-08-22.
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