WANDA D. DENT NPI 1396817086

NPI Information

NPI: 1396817086
Provider Name: WANDA D. DENT

Doing Business As: COUNTRY HOME

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
901 CROSS TIMBERS DR
DOUBLE OAK, TX
ZIP 75077
Phone: (972) 539-2557
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WANDA D. DENT is an intermediate care facility mentally retarded in Double Oak, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. WANDA D. DENT NPI is 1396817086. The provider is registered as an organization entity type.
The provider Is Doing Business As Country Home.

The provider's business location address is:

901 CROSS TIMBERS DR
DOUBLE OAK, TX
ZIP 75077-402
Phone: (972) 539-2557
Fax: (972) 539-8499

The provider's authorized official is Wanda Dianna Dent .
The authorized official title is Owner and has the following contact phone number (972) 539-2557.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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