location
search-icon
person
Dequita Kelly
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Balch Springs, Texas
NPI 1972983856

Dequita Kelly is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Balch Springs, TX. Dequita Kelly practices in Balch Springs, TX. The NPI Number for Dequita Kelly is 1972983856 and holds a License No. (Texas).

The current practice location address for Dequita Kelly is 2108 Rodney Ln, Balch Springs, TX and can be reached out via phone at 214-290-4650.

Location: 2108 Rodney Ln, Balch Springs, TX, 75180-1369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972983856
Provider Name
Dequita Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
2108 Rodney Ln, Balch Springs, TX, 75180-1369
Phone Number
214-290-4650
Fax Number
Provider Enumeration Date
06/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2108 Rodney Ln
City
Balch Springs
State
Texas
Zip
75180-1369
Phone Number
214-290-4650
Fax Number
person
Provider Business Mailing Address Details
Address
2108 Rodney Ln
City
Balch Springs
State
Texas
Zip
75180-1369
Phone Number
214-290-4650
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.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.