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Shalom Coker 24 Hours Special Needs Daycare
Intellectual Disabilities Intermediate Care Facility in Grand Prairie, Texas
NPI 1720496409

Shalom Coker 24 Hours Special Needs Daycare is a Intellectual Disabilities Intermediate Care Facility based in Grand Prairie, TX. Shalom Coker 24 Hours Special Needs Daycare practices in Grand Prairie, TX. The NPI Number for Shalom Coker 24 Hours Special Needs Daycare is 1720496409 and holds a License No. LVN#221824 (Texas).

The current practice location address for Shalom Coker 24 Hours Special Needs Daycare is 3103 Gregory Ln, Grand Prairie, TX and can be reached out via phone at 972-374-6955.

Location: 3103 Gregory Ln, Grand Prairie, TX, 75052-5742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720496409
Provider Name
Shalom Coker 24 Hours Special Needs Daycare
Credential
Provider Entity Type
Organization
Address
3103 Gregory Ln, Grand Prairie, TX, 75052-5742
Phone Number
972-374-6955
Fax Number
Provider Enumeration Date
07/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3103 Gregory Ln
City
Grand Prairie
State
Texas
Zip
75052-5742
Phone Number
972-374-6955
Fax Number
person
Provider Business Mailing Address Details
Address
3103 Gregory Ln
City
Grand Prairie
State
Texas
Zip
75052-5742
Phone Number
972-374-6955
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
LVN#221824 (Texas)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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