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Sandy Harris
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dallas, Texas
NPI 1336341338

Sandy Harris is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Dallas, TX. Sandy Harris practices in Dallas, TX. The NPI Number for Sandy Harris is 1336341338 and holds a License No. (Texas).

The current practice location address for Sandy Harris is 1604 Vida Ct, Dallas, TX and can be reached out via phone at 972-286-3665 and via fax at 972-286-2289.

Location: 1604 Vida Ct, Dallas, TX, 75253-4832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336341338
Provider Name
Sandy Harris
Credential
Provider Entity Type
Organization
Address
1604 Vida Ct, Dallas, TX, 75253-4832
Phone Number
972-286-3665
Fax Number
972-286-2289
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1604 Vida Ct
City
Dallas
State
Texas
Zip
75253-4832
Phone Number
972-286-3665
Fax Number
972-286-2289
person
Provider Business Mailing Address Details
Address
1604 Vida Ct
City
Dallas
State
Texas
Zip
75253-4832
Phone Number
972-286-3665
Fax Number
972-286-2289
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.
(Texas)
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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