person
Benjamin Fombon
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mcallen, Texas
NPI 1801231600

Benjamin Fombon is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Mcallen, TX. Benjamin Fombon practices in Mcallen, TX. The NPI Number for Benjamin Fombon is 1801231600 and holds a License No. (Texas).

The current practice location address for Benjamin Fombon is 418 E La Vista Ave, Mcallen, TX and can be reached out via phone at 956-627-6070.

Location: 418 E La Vista Ave, Mcallen, TX, 78501-9562
person
Provider Profile Details
NPI Number
1801231600
Provider Name
Benjamin Fombon
Credential
Provider Entity Type
Individual
Gender
Male
Address
418 E La Vista Ave, Mcallen, TX, 78501-9562
Phone Number
956-627-6070
Fax Number
Provider Enumeration Date
05/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
418 E La Vista Ave
City
State
Zip
78501-9562
Phone Number
956-627-6070
Fax Number
person
Provider Business Mailing Address Details
Address
418 E La Vista Ave
City
State
Zip
78501-9562
Phone Number
956-627-6070
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
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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