Organization
NORTE SERVICE PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE RAUL SANTOS (PROGRAM MANAGER)
(972) 768-5807
Entity
Organization
Contact information
Practice address
2917 DUCHESS TRAIL, PLANO, TX 75074
(972) 768-5807
Mailing address
2917 DUCHESS TRAIL, PLANO, TX 75074
(972) 768-5807
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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