person
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. You can also correspond with Andre Alexander Macedon through the mailing address at 1614 SKYLINE DR, GARLAND, TX - 75043-1771 (mailing address contact number: 214-703-5115).

Location: 1614 Skyline Dr, Garland, TX, 75043-1771
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
State
Zip
75043-1771
Phone Number
214-703-5115
Fax Number
person
Provider Business Mailing Address Details
Address
1614 Skyline Dr
City
State
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
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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