Alice Lane

NPI #1144788555 in Katy, Texas

Provider Information

NPI Number: 1144788555
Entity Type: Individual
Name: Alice Lane
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 5, 2019
Last Updated: Mar 5, 2019

Practice Location

Address: 6855 S MASON RD APT 1108
City: Katy
State: Texas
ZIP Code: 77450-1233
Phone: (313) 717-1774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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