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Andre Alexander Macedon
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Garland, Texas
NPI 1952548158

Andre Alexander Macedon is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Garland, TX. Andre Alexander Macedon practices in Garland, TX. The NPI Number for Andre Alexander Macedon is 1952548158 and holds a License No. (Texas).

The current practice location address for Andre Alexander Macedon is 1614 Skyline Dr, Garland, TX and can be reached out via phone at 214-703-5115.

Location: 1614 Skyline Dr, Garland, TX, 75043-1771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952548158
Provider Name
Andre Alexander Macedon
Credential
Provider Entity Type
Individual
Gender
Male
Address
1614 Skyline Dr, Garland, TX, 75043-1771
Phone Number
214-703-5115
Fax Number
Provider Enumeration Date
01/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1614 Skyline Dr
City
Garland
State
Texas
Zip
75043-1771
Phone Number
214-703-5115
Fax Number
person
Provider Business Mailing Address Details
Address
1614 Skyline Dr
City
Garland
State
Texas
Zip
75043-1771
Phone Number
214-703-5115
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
320900000X
License No.
(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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