Organization
HERYN DONALD
Active
Other names
Heritage Habilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERYN O DONALD (PROGRAM DIRECTOR)
(817) 791-9040
Entity
Organization
Contact information
Practice address
1001 CAROUSEL DR, BEDFORD, TX 76021-3376
(817) 791-9040
(817) 590-8305
Mailing address
1001 CAROUSEL DR, BEDFORD, TX 76021-3376
(817) 791-9040
(817) 590-8305
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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