Nedra G Tidwell in Azle - Respite Care, Intellectual And/or Developmental Disabilities
Nedra G Tidwell - NPI 1790959252
Nedra G Tidwell is a Respite Care, Intellectual And/or Developmental Disabilities in Azle, Texas. Nedra G Tidwell practices all healthcare services and medical treatments related to Respite Care, Intellectual And/or Developmental Disabilities. The NPI Number for Nedra G Tidwell is 1790959252. The last update date is 2008-04-16.
Nedra G Tidwell's current location address is 7529 Portwood Rd, Azle, Texas. You can contact this provider via phone number 8174445665 and fax number 8174449115. The mailing address for Nedra G Tidwell is 7529 Portwood Rd, Azle, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nedra G Tidwell |
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Address | 7529 Portwood Rd, Azle, Texas |
Phone Number | 8174445665 |
Fax Number | 8174449115 |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1790959252 |
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Provider Enumeration Date | 2008-04-16 |
Last Updated Date | 2008-04-16 |
Provider Mailing Address Detail
Address | 7529 Portwood Rd |
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City | Azle |
State | Texas (TX) |
Post Code | 76020 |
Phone Number | 8174445665 |
Fax Number | 8174449115 |
Provider's Primary Taxonomy Detail
Speciality | Respite Care, Intellectual And/or Developmental Disabilities |
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Taxonomy | 385Hr2060X |
Licence No | 28761 |
Definition: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. |
Post Comment/ Review Below
What is the Nedra G Tidwell's 1790959252?
The Nedra G Tidwell's NPI (National Provider Identifier) Number is 1790959252. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Nedra G Tidwell is physically located?
The Nedra G Tidwell is physically situated at the following address: 7529 Portwood Rd, Azle, TX, 76020.
What is Nedra G Tidwell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nedra G Tidwell is Respite Care, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 385Hr2060X.
On what date did Nedra G Tidwell receive its 1790959252 assignment from the Centers for Medicare & Medicaid Services?
The Nedra G Tidwell was assigned its 1790959252 on 2008-04-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Nedra G Tidwell's information last updated?
The Nedra G Tidwell's information was last updated on 2008-04-16.