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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. You can also correspond with Mary Jean Webb through the mailing address at 3516 CANYON RIDGE AVE, FORT WORTH, TX - 76103-3010 (mailing address contact number: 682-232-6560).

Location: 3516 Canyon Ridge Ave, Fort Worth, TX, 76103-3010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Fort Worth
State
Texas
Zip
76103-3010
Phone Number
682-232-6560
Fax Number
person
Provider Business Mailing Address Details
Address
3516 Canyon Ridge Ave
City
Fort Worth
State
Texas
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
320600000X
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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