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St. Nicholas Operations Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dallas, Texas
NPI 1841558582

St. Nicholas Operations Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Houston, TX. St. Nicholas Operations Llc practices in Dallas, TX. The NPI Number for St. Nicholas Operations Llc is 1841558582 and holds a License No. (Texas).

The current practice location address for St. Nicholas Operations Llc is 4612 Heatherbrook Dr, Dallas, TX and can be reached out via phone at 713-271-7777 and via fax at 713-271-8585.

Location: 4612 Heatherbrook Dr, Dallas, TX, 77031-2342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841558582
Provider Name
St. Nicholas Operations Llc
Credential
Provider Entity Type
Organization
Address
4612 Heatherbrook Dr, Dallas, TX, 77031-2342
Phone Number
713-271-7777
Fax Number
713-271-8585
Provider Enumeration Date
05/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4612 Heatherbrook Dr
City
Dallas
State
Texas
Zip
75244-7634
Phone Number
713-271-7777
Fax Number
713-271-8585
person
Provider Business Mailing Address Details
Address
4612 Heatherbrook Dr
City
Dallas
State
Texas
Zip
75244-7634
Phone Number
713-271-7777
Fax Number
713-271-8585
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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