Individual
ELLEN FAYE STANDBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 SANTOS DR, ROYSE CITY, TX 75189-5111
(214) 600-2513
Mailing address
PO BOX 2413, ROWLETT, TX 75030-2413
(214) 600-2513
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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