Organization
ASEDA HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERA PANI (PROGRAM MANAGER)
(208) 293-2559
Entity
Organization
Contact information
Practice address
29518 CIRCLE S RANCH TRL, RICHMOND, TX 77406-3306
(208) 293-2559
Mailing address
29518 CIRCLE S RANCH TRL, RICHMOND, TX 77406-3306
(208) 293-2559
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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