# HERITAGE HABILITATION INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487883476
- **Authorized official:** MR. HERYN ORI- ADE' DONALD (PROGRAM MANAGER)
- **Authorized official phone:** (817) 899-1193

## Contact information

- **Practice address:** 746 E PIPELINE RD, HURST, TX 76053-6011
- **Practice address phone:** (817) 899-1193
- **Practice address fax:** (817) 280-0200
- **Mailing address:** PO BOX 1405, BEDFORD, TX 76095-1405
- **Mailing address phone:** (817) 899-1193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 07/10/2009
- **Last updated:** 07/10/2009