Andrews Center - TX Home Living
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Tyler, TX
NPI 1154491124 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154491124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- ANDREWS CENTER - TX HOME LIVING
- Practice address
- 2323 W Front St
Tyler, TX 75702-7704 - Phone
- (903) 597-1351
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Carol Fontenot
- Title
- CFT
- Phone
- (903) 597-1351
Corporate family (same tax ID) 20
Practitioners 1
-
Kathleen Wakefield, LMSW-ACP
National Provider Directory
- Tax ID family
- Andrews Center -Pinkerton
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
2323 W Front St
Tyler, TX 75702-7704
Mailing address
2607 Cecil LN
Athens, TX 75752-6838
Phone (903) 677-3520
Other providers in Tyler, TX
- Andrews Center
- Andrews Center
- Andrews Center - HCS
- Andrews Center - MH
- Andrews Center - Mr
- Andrews Center -Pinkerton
- Andrews Center-Adt
- Andrews Center-Autism
- Andrews Center-Chemical Dependancy
- Andrews Center-Dropin
All providers in Tyler, TX · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.