Organization
ANDRE HANCOCK SR. FAMILY GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRMA CROSBY (PRESIDENT)
(214) 460-6930
Entity
Organization
Contact information
Practice address
1012 FARM MARKET ROAD 2377, RED OAK, TX 75154
(214) 460-6930
Mailing address
1012 FARM MARKET ROAD 2377, RED OAK, TX 75154
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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