NPI | 1033443288 |
---|---|
Doing Business As | DEVONSHIRE HOME |
Entity Type | Organization |
Authorized Contact | BRANDI S TRAUTMAN Licensing Coordinator 682-707-2756 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2009-09-21 |
Last Update Date | 2025-04-28 |