person
Connie Fulbright
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lubbock, Texas
NPI 1912065210

Connie Fulbright is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lubbock, TX. Connie Fulbright practices in Lubbock, TX. The NPI Number for Connie Fulbright is 1912065210 and holds a License No. 117319 (Texas).

The current practice location address for Connie Fulbright is 4805 16Th St, Lubbock, TX and can be reached out via phone at 806-797-3660.

Location: 4805 16Th St, Lubbock, TX, 79416-5623
person
Provider Profile Details
NPI Number
1912065210
Provider Name
Connie Fulbright
Credential
Provider Entity Type
Individual
Gender
Female
Address
4805 16Th St, Lubbock, TX, 79416-5623
Phone Number
806-797-3660
Fax Number
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4805 16Th St
City
State
Zip
79416-5623
Phone Number
806-797-3660
Fax Number
person
Provider Business Mailing Address Details
Address
4805 16Th St
City
State
Zip
79416-5623
Phone Number
806-797-3660
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.
117319 (Texas)
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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