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Shacklefree Ministries
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Longview, Texas
NPI 1356695480

Shacklefree Ministries is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Longview, TX. Shacklefree Ministries practices in Longview, TX. The NPI Number for Shacklefree Ministries is 1356695480 and holds a License No. (Texas).

The current practice location address for Shacklefree Ministries is 409 N Fredonia St, Longview, TX and can be reached out via phone at 903-917-6632.

Location: 409 N Fredonia St, Longview, TX, 75601-6466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356695480
Provider Name
Shacklefree Ministries
Credential
Provider Entity Type
Organization
Address
409 N Fredonia St, Longview, TX, 75601-6466
Phone Number
903-917-6632
Fax Number
Provider Enumeration Date
10/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
409 N Fredonia St
City
Longview
State
Texas
Zip
75601-6466
Phone Number
903-917-6632
Fax Number
person
Provider Business Mailing Address Details
Address
409 N Fredonia St
City
Longview
State
Texas
Zip
75601-6466
Phone Number
903-917-6632
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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