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NPI Code Detail

MEDICARE: WALKER WEBB RESIDENTIAL AND HEALTH SERVICES, LP

MEDICARE: WALKER WEBB RESIDENTIAL AND HEALTH SERVICES, LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency177F000000XTX

General Provider Information

NPI Number : 1699146894
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALKER WEBB RESIDENTIAL AND HEALTH SERVICES, LP
Provider Business Mailing Address
First Line : 6410 LOVE DR
Second Line :
City : IRVING
State : TX
Zip : 75039-4003
Country : US
Telephone Number : 214-797-1000
Fax Number : 214-780-0807
Provider Business Practice Location Address
First Line : 6410 LOVE DR
Second Line :
City : IRVING
State : TX
Zip : 75039-4003
Country : US
Telephone Number : 214-797-1000
Fax Number : 214-780-0807
Authorized Official
Title or Position : CO-OWNER
Name : DOROTHEA DIAN LEE
Credential : RPH
Telephone Number : 214-797-1000
Provider Enumeration Date : 10/14/2015
Last Update Date : 10/14/2015

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