Organization
COMPASSION COMMUNITY RESIDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QIANA MARIE WASHINGTON LVN (OWNER)
(817) 681-0920
Entity
Organization
Contact information
Practice address
11 FERN OAK CT, MANSFIELD, TX 76063-6265
(817) 681-0920
(414) 755-7676
Mailing address
11 FERN OAK CT, MANSFIELD, TX 76063-6265
(817) 681-0920
(817) 681-0920
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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