Janice Marie Rideaux
Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · La Marque, TX
NPI 1376160069 · NPPES record last updated Jun 29, 2020
Key facts
- NPI
- 1376160069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Practice address
- 2402 Cedar Dr
La Marque, TX 77568-3916 - Phone
- (281) 508-0192
- NPI assigned
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
2402 Cedar Dr
La Marque, TX 77568-3916
Mailing address
2402 Cedar Dr
La Marque, TX 77568-3916
Phone (281) 508-0192
Other providers in La Marque, TX
- Rima Patel
- Pathway to Recovery, Inc.
- Emily Jane Pereznegron I
- Jamie Polivka
- Debreka Reed
- Teri Lynn Roberts
- Chassidy Robinson
- Saira Janeth Rodriguez
- Elizabeth Rogers
- Rona E Smith LPC PLLC
All providers in La Marque, 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 Jun 29, 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.