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Teresa Ann Bohannan
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Forest Hill, Texas
NPI 1770194532

Teresa Ann Bohannan is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Forest Hill, TX. Teresa Ann Bohannan practices in Forest Hill, TX. The NPI Number for Teresa Ann Bohannan is 1770194532 and holds a License No. (Texas).

The current practice location address for Teresa Ann Bohannan is 3725 Dutch Iris Ln, Forest Hill, TX and can be reached out via phone at 817-217-2869.

Location: 3725 Dutch Iris Ln, Forest Hill, TX, 76140-7005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770194532
Provider Name
Teresa Ann Bohannan
Credential
Provider Entity Type
Individual
Gender
Female
Address
3725 Dutch Iris Ln, Forest Hill, TX, 76140-7005
Phone Number
817-217-2869
Fax Number
Provider Enumeration Date
08/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3725 Dutch Iris Ln
City
Forest Hill
State
Texas
Zip
76140-7005
Phone Number
817-217-2869
Fax Number
person
Provider Business Mailing Address Details
Address
3725 Dutch Iris Ln
City
Forest Hill
State
Texas
Zip
76140-7005
Phone Number
817-217-2869
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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