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Lucille's Palace, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mansfield, Texas
NPI 1851924203

Lucille's Palace, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Mansfield, TX. Lucille's Palace, Llc practices in Mansfield, TX. The NPI Number for Lucille's Palace, Llc is 1851924203 and holds a License No. (Texas).

The current practice location address for Lucille's Palace, Llc is 3361 Harmon Rd Unit 2110, Mansfield, TX and can be reached out via phone at 817-403-8465.

Location: 3361 Harmon Rd Unit 2110, Mansfield, TX, 76063-5764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851924203
Provider Name
Lucille's Palace, Llc
Credential
Provider Entity Type
Organization
Address
3361 Harmon Rd Unit 2110, Mansfield, TX, 76063-5764
Phone Number
817-403-8465
Fax Number
Provider Enumeration Date
02/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3361 Harmon Rd Unit 2110
City
Mansfield
State
Texas
Zip
76063-5764
Phone Number
817-403-8465
Fax Number
person
Provider Business Mailing Address Details
Address
3361 Harmon Rd Unit 2110
City
Mansfield
State
Texas
Zip
76063-5764
Phone Number
817-403-8465
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
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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