person
Miss Mary Jean Webb
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fort Worth, Texas
NPI 1639421894

Mary Jean Webb is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Fort Worth, TX. Mary Jean Webb practices in Fort Worth, TX. The NPI Number for Mary Jean Webb is 1639421894 and holds a License No. 320600000X (Texas).

The current practice location address for Mary Jean Webb is 3516 Canyon Ridge Ave, Fort Worth, TX and can be reached out via phone at 682-232-6560.

Location: 3516 Canyon Ridge Ave, Fort Worth, TX, 76103-3010
person
Provider Profile Details
NPI Number
1639421894
Provider Name
Mary Jean Webb
Credential
Provider Entity Type
Individual
Gender
Female
Address
3516 Canyon Ridge Ave, Fort Worth, TX, 76103-3010
Phone Number
682-232-6560
Fax Number
Provider Enumeration Date
10/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3516 Canyon Ridge Ave
City
State
Zip
76103-3010
Phone Number
682-232-6560
Fax Number
person
Provider Business Mailing Address Details
Address
3516 Canyon Ridge Ave
City
State
Zip
76103-3010
Phone Number
682-232-6560
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
320600000X (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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