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Nina Mason
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dallas, Texas
NPI 1003213331

Nina Mason is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Dallas, TX. Nina Mason practices in Dallas, TX. The NPI Number for Nina Mason is 1003213331 and holds a License No. (Texas).

The current practice location address for Nina Mason is 1330 Fordham Rd, Dallas, TX and can be reached out via phone at 214-749-8013.

Location: 1330 Fordham Rd, Dallas, TX, 75216-6219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003213331
Provider Name
Nina Mason
Credential
Provider Entity Type
Individual
Gender
Female
Address
1330 Fordham Rd, Dallas, TX, 75216-6219
Phone Number
214-749-8013
Fax Number
Provider Enumeration Date
12/02/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1330 Fordham Rd
City
Dallas
State
Texas
Zip
75216-6219
Phone Number
214-749-8013
Fax Number
person
Provider Business Mailing Address Details
Address
1330 Fordham Rd
City
Dallas
State
Texas
Zip
75216-6219
Phone Number
214-749-8013
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
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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