4 Corners Residential Care, LLC

Organization Active NPI Non-emergency Medical Transport (VAN) · The Colony, TX

NPI 1154719664 · NPPES record last updated May 20, 2015

Key facts

NPI
1154719664
Entity type
Organization (NPI type 2)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Legal business name
4 CORNERS RESIDENTIAL CARE, LLC
Practice address
3816 Acacia TRL
The Colony, TX 75056-3681
Phone
(972) 897-0548
NPI assigned
Jan 6, 2015
Organization subpart
No

Authorized official

Name
Roderic Horton
Title
Owner
Phone
(972) 897-0548

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Non-emergency Medical Transport (VAN) 343900000X Yes

Addresses

Primary practice location

3816 Acacia TRL
The Colony, TX 75056-3681

Mailing address

3816 Acacia TRL
The Colony, TX 75056-3681
Phone (972) 897-0548

Other identifiers

IdentifierTypeStateIssuer
343900000XOtherTXTRANSPORTATION SERVICES/VAN

Other names

  • 4 Corners Residential Services, LLC Other name

Other providers in The Colony, TX

All providers in The Colony, TX · Non-emergency Medical Transport (VAN) in Texas

Sources for this page

Verify at the official NPI Registry.