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Kitty Forrest Ellis
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Temple, Texas
NPI 1669618179

Kitty Forrest Ellis is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Temple, TX. Kitty Forrest Ellis practices in Temple, TX. The NPI Number for Kitty Forrest Ellis is 1669618179 and holds a License No. (Texas).

The current practice location address for Kitty Forrest Ellis is 2331 Canyon Creek Dr, Temple, TX and can be reached out via phone at 254-771-2358. You can also correspond with Kitty Forrest Ellis through the mailing address at 2331 CANYON CREEK DR, TEMPLE, TX - 76502-3112 (mailing address contact number: 254-771-2358).

Location: 2331 Canyon Creek Dr, Temple, TX, 76502-3112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669618179
Provider Name
Kitty Forrest Ellis
Credential
Provider Entity Type
Organization
Address
2331 Canyon Creek Dr, Temple, TX, 76502-3112
Phone Number
254-771-2358
Fax Number
Provider Enumeration Date
01/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2331 Canyon Creek Dr
City
Temple
State
Texas
Zip
76502-3112
Phone Number
254-771-2358
Fax Number
person
Provider Business Mailing Address Details
Address
2331 Canyon Creek Dr
City
Temple
State
Texas
Zip
76502-3112
Phone Number
254-771-2358
Fax Number
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.
()
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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