JENNY'S RESIDENT GROUP CARE #3 NPI 1154539039

NPI Information

JENNY'S RESIDENT GROUP CARE #3 is a residential treatment facility, intellectual and/or developmental disabilities in Dallas, TX. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. JENNY'S RESIDENT GROUP CARE #3 NPI is 1154539039. The provider is registered as an organization entity type.

The provider's business location address is:

808 W RED BIRD LN
DALLAS, TX
ZIP 75232-120
Phone: (214) 376-0309

The provider's authorized official is Jennifer Ellis .
The authorized official title is Owner and has the following contact phone number (214) 376-0309.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 9/1/2009.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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