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Mr. Keorric Lamont Holiday
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arlington, Texas
NPI 1568608420

Keorric Lamont Holiday is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Arlington, TX. Keorric Lamont Holiday practices in Arlington, TX. The NPI Number for Keorric Lamont Holiday is 1568608420 and holds a License No. 14557506 (Texas).

The current practice location address for Keorric Lamont Holiday is 3705 Fort Hunt Drive, Arlington, TX and can be reached out via phone at 817-919-7013 and via fax at 682-587-4118.

Location: 3705 Fort Hunt Drive, Arlington, TX, 76016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568608420
Provider Name
Keorric Lamont Holiday
Credential
Provider Entity Type
Individual
Gender
Male
Address
3705 Fort Hunt Drive, Arlington, TX, 76016
Phone Number
817-919-7013
Fax Number
682-587-4118
Provider Enumeration Date
12/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3705 Fort Hunt Drive
City
Arlington
State
Texas
Zip
76016
Phone Number
817-919-7013
Fax Number
682-587-4118
person
Provider Business Mailing Address Details
Address
3705 Fort Hunt Drive
City
Arlington
State
Texas
Zip
76016
Phone Number
817-919-7013
Fax Number
682-587-4118
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
14557506 (Texas)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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