Organization
ADVANCED HOME AND COMMUNITY SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHURLA GAY RN (PROGRAM DIRECTOR)
(972) 809-6666
Entity
Organization
Contact information
Practice address
606 ORIOLE BLVD STE 313, DUNCANVILLE, TX 75116-3500
(972) 809-6666
(972) 283-8037
Mailing address
606 ORIOLE BLVD STE 313, DUNCANVILLE, TX 75116-3500
(972) 809-6666
(972) 283-8037
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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