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Joy Champagne
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lindale, Texas
NPI 1538236609

Joy Champagne is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lindale, TX. Joy Champagne practices in Lindale, TX. The NPI Number for Joy Champagne is 1538236609 and holds a License No. 117825 (Texas).

The current practice location address for Joy Champagne is 303 Mount Sylvan St, Lindale, TX and can be reached out via phone at 903-882-8337 and via fax at 903-882-1627.

Location: 303 Mount Sylvan St, Lindale, TX, 75771-1749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538236609
Provider Name
Joy Champagne
Credential
Provider Entity Type
Individual
Gender
Female
Address
303 Mount Sylvan St, Lindale, TX, 75771-1749
Phone Number
903-882-8337
Fax Number
903-882-1627
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003687 01 TX PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
303 Mount Sylvan St
City
Lindale
State
Texas
Zip
75771-6235
Phone Number
903-882-8337
Fax Number
903-882-1627
person
Provider Business Mailing Address Details
Address
303 Mount Sylvan St
City
Lindale
State
Texas
Zip
75771-6235
Phone Number
903-882-8337
Fax Number
903-882-1627
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.
117825 (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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