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La Trece Edmonds
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rosharon, Texas
NPI 1316342728

La Trece Edmonds is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Rosharon, TX. La Trece Edmonds practices in Rosharon, TX. The NPI Number for La Trece Edmonds is 1316342728 and holds a License No. (Texas).

The current practice location address for La Trece Edmonds is 18302 County Road 40, Rosharon, TX and can be reached out via phone at 281-995-7917.

Location: 18302 County Road 40, Rosharon, TX, 77583-7312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316342728
Provider Name
La Trece Edmonds
Credential
Provider Entity Type
Individual
Gender
Female
Address
18302 County Road 40, Rosharon, TX, 77583-7312
Phone Number
281-995-7917
Fax Number
Provider Enumeration Date
10/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18302 County Road 40
City
Rosharon
State
Texas
Zip
77583-7312
Phone Number
281-995-7917
Fax Number
person
Provider Business Mailing Address Details
Address
18302 County Road 40
City
Rosharon
State
Texas
Zip
77583-7312
Phone Number
281-995-7917
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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