Organization
TEXAS QUALITY LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON N EZENNIA (C.E.O)
(972) 429-6644
Entity
Organization
Contact information
Practice address
3214 CREEKSIDE DR, SACHSE, TX 75048-2365
(972) 898-4483
(972) 782-9922
Mailing address
3214 CREEKSIDE DR, SACHSE, TX 75048-2365
(972) 898-4483
(972) 782-9922
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/10/2010
Last updated
04/27/2010
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