Organization
JASPER INCORPORATED LLC
Active
Other names
Jasper Incorporated LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA DEANNE JASPER (PROJECT MANAGER)
(737) 895-1419
Entity
Organization
Contact information
Practice address
1801 ADRIANE DR, AUSTIN, TX 78721-1213
(737) 895-1419
Mailing address
15502 PEWTER LUSTER CV, DEL VALLE, TX 78617-2664
(737) 895-1419
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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