Organization
D&S RESIDENTIAL SERVICES, LP
Active
Parent organization
D&S RESIDENTIAL HOLDINGS, LLC
Other names
Capital Heights Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
D&S RESIDENTIAL HOLDINGS, LLC
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VP & SR ASST GENERAL COUNSEL)
(952) 836-2234
Entity
Organization
Contact information
Practice address
1706 IDAHO AVENUE, SAN ANGELO, TX 76904
(325) 944-4096
(512) 327-5355
Mailing address
8911 NORTH CAPITAL OF TEXAS HIGHWAY, BUILDING 1, SUITE 1300, AUSTIN, TX 78759-7203
(512) 327-2325
(512) 263-2161
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
001014261
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014261
—
TX
Enumeration date
05/16/2007
Last updated
01/21/2024
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