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Mrs. Nedra G Tidwell
Child Intellectual and/or Developmental Disabilities Respite Care in Azle, Texas
NPI 1790959252

Nedra G Tidwell is a Child Intellectual and/or Developmental Disabilities Respite Care based in Azle, TX and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Nedra G Tidwell practices in Azle, TX. The NPI Number for Nedra G Tidwell is 1790959252 and holds a License No. 28761 (Texas).

The current practice location address for Nedra G Tidwell is 7525 Portwood Rd, Azle, TX and can be reached out via phone at 817-444-5665 and via fax at 817-444-9115.

Location: 7525 Portwood Rd, Azle, TX, 76020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790959252
Provider Name
Nedra G Tidwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
7525 Portwood Rd, Azle, TX, 76020
Phone Number
817-444-5665
Fax Number
817-444-9115
Provider Enumeration Date
04/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7525 Portwood Rd
City
Azle
State
Texas
Zip
76020-5835
Phone Number
817-444-5665
Fax Number
817-444-9115
person
Provider Business Mailing Address Details
Address
7525 Portwood Rd
City
Azle
State
Texas
Zip
76020-5835
Phone Number
817-444-5665
Fax Number
817-444-9115
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
28761 (Texas)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
28761 (Texas)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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