Ability-Residential Living Assistance
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · White Oak, TX
NPI 1992055024 · NPPES record last updated Sep 17, 2012
Key facts
- NPI
- 1992055024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- ABILITY-RESIDENTIAL LIVING ASSISTANCE
- Practice address
- 1112 Acapulco LN
White Oak, TX 75693-3046 - Phone
- (903) 237-9988
- Fax
- (903) 291-0123
- NPI assigned
- Sep 17, 2012
- Organization subpart
- No
Authorized official
- Name
- Brandi N Boyd
- Title
- Director
- Phone
- (903) 237-9988
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
1112 Acapulco LN
White Oak, TX 75693-3046
Mailing address
PO Box 7905
Longview, TX 75607-7905
Phone (903) 237-9988
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDSA | Medicaid | TX | |
| HCSSA | Medicaid | TX |
Other providers in White Oak, TX
- Abiding Residential Services
- Phillip Jeffery Barnhill
- Kelli Barton
- Ankita Bhalla
- Brandi Nicole Boyd
- Courtney Brantley
All providers in White Oak, 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 Sep 17, 2012. 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.