Cg-Dsa, Llc in Fort Worth - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Cg-Dsa, Llc - NPI 1124051982
Cg-Dsa, Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Fort Worth, Texas. Cg-Dsa, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Cg-Dsa, Llc is 1124051982. The last update date is 2021-08-17.
Cg-Dsa, Llc's current location address is 4800 Overton Plaza, Fort Worth, Texas. You can contact this provider via phone number 8002995161. The mailing address for Cg-Dsa, Llc is 4800 Overton Plaza, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Cg-Dsa, Llc |
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Address | 4800 Overton Plaza, Fort Worth, Texas |
Phone Number | 8002995161 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OPERATIONS |
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Authorized Official Name | Todd Anna |
Telephone Number | 8002995161 |
NPI Number Detail
NPI Number | 1124051982 |
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Provider Enumeration Date | 2006-07-07 |
Last Updated Date | 2021-08-17 |
Provider Mailing Address Detail
Address | 4800 Overton Plaza |
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City | Fort Worth |
State | Texas (TX) |
Post Code | 761094435 |
Phone Number | 8002995161 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Taxonomy | 320900000X |
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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100244470C | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Cg-Dsa, Llc by the Centers for Medicare & Medicaid Services?
The Cg-Dsa, Llc has been issued the NPI (National Provider Identifier) 1124051982 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Cg-Dsa, Llc is physically located?
The Cg-Dsa, Llc is physically situated at the following address: 4800 Overton Plaza, Fort Worth, TX, 761094435.
What is Cg-Dsa, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Cg-Dsa, Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
When did Cg-Dsa, Llc receive its 1124051982 assignment?
The Cg-Dsa, Llc was assigned its 1124051982 on 2006-07-07, which is the date when this unique identifier was issued to the organization.
As of what date were the Cg-Dsa, Llc's details last updated?
The information pertaining to the Cg-Dsa, Llc, including its address, specialty, and other details, was most recently updated on 2021-08-17.