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Mrs. Kathi Iula Ashlock
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Clyde, Texas
NPI 1285149906

Kathi Iula Ashlock is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Clyde, TX. Kathi Iula Ashlock practices in Clyde, TX. The NPI Number for Kathi Iula Ashlock is 1285149906 and holds a License No. (Texas).

The current practice location address for Kathi Iula Ashlock is 17079 Private Road 2251, Clyde, TX and can be reached out via phone at 325-529-3192 and via fax at 325-529-3192.

Location: 17079 Private Road 2251, Clyde, TX, 79510-7643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285149906
Provider Name
Kathi Iula Ashlock
Credential
Provider Entity Type
Individual
Gender
Female
Address
17079 Private Road 2251, Clyde, TX, 79510-7643
Phone Number
325-529-3192
Fax Number
325-529-3192
Provider Enumeration Date
12/04/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17079 Private Road 2251
City
Clyde
State
Texas
Zip
79510-7643
Phone Number
325-529-3192
Fax Number
325-529-3192
person
Provider Business Mailing Address Details
Address
17079 Private Road 2251
City
Clyde
State
Texas
Zip
79510-7643
Phone Number
325-529-3192
Fax Number
325-529-3192
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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