Individual
LATOYA BASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 LOYOLA LN, AUSTIN, TX 78724-3524
(469) 740-0829
Mailing address
PO BOX 10831, AUSTIN, TX 78766-1831
(469) 740-0829
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
NA0008689987
TX
Other
Enumeration date
05/14/2021
Last updated
11/15/2023
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