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Regina Renee Edwards
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Worth, Texas
NPI 1770105678

Regina Renee Edwards is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fort Worth, TX. Regina Renee Edwards practices in Fort Worth, TX. The NPI Number for Regina Renee Edwards is 1770105678 and holds a License No. (Texas).

The current practice location address for Regina Renee Edwards is 3841 Irish Setter Dr, Fort Worth, TX and can be reached out via phone at 682-414-0899 and via fax at 817-835-6753.

Location: 3841 Irish Setter Dr, Fort Worth, TX, 76123-2596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770105678
Provider Name
Regina Renee Edwards
Credential
Provider Entity Type
Individual
Gender
Female
Address
3841 Irish Setter Dr, Fort Worth, TX, 76123-2596
Phone Number
682-414-0899
Fax Number
817-835-6753
Provider Enumeration Date
05/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3841 Irish Setter Dr
City
Fort Worth
State
Texas
Zip
76123-2596
Phone Number
682-414-0899
Fax Number
817-835-6753
person
Provider Business Mailing Address Details
Address
3841 Irish Setter Dr
City
Fort Worth
State
Texas
Zip
76123-2596
Phone Number
682-414-0899
Fax Number
817-835-6753
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.
(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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