Organization
CASTLE BLOOM HOME & COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NGOZI C ANEKPO (DIRECTOR)
(302) 437-5573
Entity
Organization
Contact information
Practice address
1105 POST WOOD DR, DENTON, TX 76210
(302) 437-5573
Mailing address
1105 POST WOOD DR, DENTON, TX 76210
(302) 437-5573
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/26/2009
Last updated
10/28/2009
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