Organization
HERITAGE HABILITATION INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERYN ORI- ADE' DONALD (PROGRAM MANAGER)
(817) 899-1193
Entity
Organization
Contact information
Practice address
746 E PIPELINE RD, HURST, TX 76053-6011
(817) 899-1193
(817) 280-0200
Mailing address
PO BOX 1405, BEDFORD, TX 76095-1405
(817) 899-1193
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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