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Januette London
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Longview, Texas
NPI 1619153905

Januette London is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Judson, TX. Januette London practices in Longview, TX. The NPI Number for Januette London is 1619153905 and holds a License No. (Texas).

The current practice location address for Januette London is 501 E Young St, Longview, TX and can be reached out via phone at 903-220-8481 and via fax at 903-758-1836.

Location: 501 E Young St, Longview, TX, 75660-0196
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619153905
Provider Name
Januette London
Credential
Provider Entity Type
Individual
Gender
Female
Address
501 E Young St, Longview, TX, 75660-0196
Phone Number
903-220-8481
Fax Number
903-758-1836
Provider Enumeration Date
01/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 E Young St
City
Longview
State
Texas
Zip
75602-1829
Phone Number
903-220-8481
Fax Number
903-758-1836
person
Provider Business Mailing Address Details
Address
501 E Young St
City
Longview
State
Texas
Zip
75602-1829
Phone Number
903-220-8481
Fax Number
903-758-1836
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(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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