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Beverly Mayfield
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Irving, Texas
NPI 1184918468

Beverly Mayfield is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Irving, TX. Beverly Mayfield practices in Irving, TX. The NPI Number for Beverly Mayfield is 1184918468 and holds a License No. (Texas).

The current practice location address for Beverly Mayfield is 1224 S Rogers Rd Apt 1224, Irving, TX and can be reached out via phone at 469-735-0364.

Location: 1224 S Rogers Rd Apt 1224, Irving, TX, 75060-3765
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184918468
Provider Name
Beverly Mayfield
Credential
Provider Entity Type
Organization
Address
1224 S Rogers Rd Apt 1224, Irving, TX, 75060-3765
Phone Number
469-735-0364
Fax Number
Provider Enumeration Date
06/04/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1224 S Rogers Rd Apt 1224
City
Irving
State
Texas
Zip
75060-3765
Phone Number
469-735-0364
Fax Number
person
Provider Business Mailing Address Details
Address
1224 S Rogers Rd Apt 1224
City
Irving
State
Texas
Zip
75060-3765
Phone Number
469-735-0364
Fax Number
person
Provider's Taxonomy Details 1
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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