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Autumn Haven Residential Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Dallas, Texas
NPI 1710692736

Autumn Haven Residential Facility is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Dallas, TX. Autumn Haven Residential Facility practices in Dallas, TX. The NPI Number for Autumn Haven Residential Facility is 1710692736 and holds a License No. (Texas).

The current practice location address for Autumn Haven Residential Facility is 2507 Earlcove Dr, Dallas, TX and can be reached out via phone at 469-992-0389 and via fax at 972-637-9225.

Location: 2507 Earlcove Dr, Dallas, TX, 75227-7817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710692736
Provider Name
Autumn Haven Residential Facility
Credential
Provider Entity Type
Organization
Address
2507 Earlcove Dr, Dallas, TX, 75227-7817
Phone Number
469-992-0389
Fax Number
972-637-9225
Provider Enumeration Date
01/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2507 Earlcove Dr
City
Dallas
State
Texas
Zip
75227-7817
Phone Number
469-992-0389
Fax Number
972-637-9225
person
Provider Business Mailing Address Details
Address
2507 Earlcove Dr
City
Dallas
State
Texas
Zip
75227-7817
Phone Number
469-992-0389
Fax Number
972-637-9225
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
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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