Organization
EDWARDS HOUSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANISHA T EDWARDS (OWNER)
(817) 404-7733
Entity
Organization
Contact information
Practice address
2000 E LAMAR BLVD STE 600, ARLINGTON, TX 76006-7361
(817) 404-7733
Mailing address
2000 E LAMAR BLVD STE 600, ARLINGTON, TX 76006-7361
(817) 404-7733
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
364SL0600X
Long-Term Care Clinical Nurse Specialist
—
—
Other
Enumeration date
11/04/2020
Last updated
12/31/2023
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