Organization
EMPOWERMENT RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON FORD (OWNER)
(630) 715-4094
Entity
Organization
Contact information
Practice address
1525 SUMMERWOOD LN, CEDAR HILL, TX 75104-3901
(630) 715-4094
Mailing address
1525 SUMMERWOOD LN, CEDAR HILL, TX 75104-3901
(630) 715-4094
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/15/2023
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