Organization
IDA CARE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWANDA SHEAD (MANAGER)
(682) 730-6030
Entity
Organization
Contact information
Practice address
2000 E LAMAR BLVD STE 600, ARLINGTON, TX 76006-7361
(903) 480-0160
Mailing address
2000 E LAMAR BLVD STE 600, ARLINGTON, TX 76006-7361
(903) 480-0160
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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