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Mrs. Shirley Levone Andersonbentley
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri City, Texas
NPI 1902008410

Shirley Levone Andersonbentley is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Missouri City, TX. Shirley Levone Andersonbentley practices in Missouri City, TX. The NPI Number for Shirley Levone Andersonbentley is 1902008410 and holds a License No. (Texas).

The current practice location address for Shirley Levone Andersonbentley is 711 Martin Ln, Missouri City, TX and can be reached out via phone at 713-398-1718 and via fax at 281-261-2962.

Location: 711 Martin Ln, Missouri City, TX, 77489-1424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902008410
Provider Name
Shirley Levone Andersonbentley
Credential
Provider Entity Type
Individual
Gender
Female
Address
711 Martin Ln, Missouri City, TX, 77489-1424
Phone Number
713-398-1718
Fax Number
281-261-2962
Provider Enumeration Date
06/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
711 Martin Ln
City
Missouri City
State
Texas
Zip
77489-1424
Phone Number
713-398-1718
Fax Number
281-261-2962
person
Provider Business Mailing Address Details
Address
711 Martin Ln
City
Missouri City
State
Texas
Zip
77489-1424
Phone Number
713-398-1718
Fax Number
281-261-2962
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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