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Sheila Isaac
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Longview, Texas
NPI 1750491791

Sheila Isaac is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Longview, TX. Sheila Isaac practices in Longview, TX. The NPI Number for Sheila Isaac is 1750491791 and holds a License No. 87Y/0000HO87Y (Texas).

The current practice location address for Sheila Isaac is 409 S Main St, Longview, TX and can be reached out via phone at 903-758-9886.

Location: 409 S Main St, Longview, TX, 75601-7432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750491791
Provider Name
Sheila Isaac
Credential
Provider Entity Type
Organization
Address
409 S Main St, Longview, TX, 75601-7432
Phone Number
903-758-9886
Fax Number
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
409 S Main St
City
Longview
State
Texas
Zip
75601-7432
Phone Number
903-758-9886
Fax Number
person
Provider Business Mailing Address Details
Address
409 S Main St
City
Longview
State
Texas
Zip
75601-7432
Phone Number
903-758-9886
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.
87Y/0000HO87Y (Texas)
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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