EBONY S PERRY NPI 1093461881

NPI Information

NPI: 1093461881
Provider Name: EBONY S PERRY
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
329 W WILLOW CREEK DR
GLENN HEIGHTS, TX
ZIP 75154
Phone: (469) 245-7066
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Ebony S Perry is a community based residential treatment facility, intellectual and/or developmental disabilities in Glenn Heights, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Ebony S Perry NPI is 1093461881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

329 W WILLOW CREEK DR
GLENN HEIGHTS, TX
ZIP 75154-879
Phone: (469) 245-7066

The enumeration date for this NPI number is 3/1/2022 and was last updated on 8/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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