4 Corners Residential Care, LLC
NPI #1154719664 in The Colony, Texas
Provider Information
- NPI Number
- 1154719664
- Entity Type
- Organization
- Organization Name
- 4 Corners Residential Care, LLC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jan 6, 2015
- Last Updated
- May 20, 2015
Practice Location
- Address
- 3816 ACACIA TRL
- City
- The Colony
- State
- Texas
- ZIP Code
- 75056-3681
- Phone
- (972) 897-0548
Authorized Official
- Name
- RODERIC HORTON
- Title
- OWNER
- Phone
- (972) 897-0548
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Non-emergency Medical Transport (VAN) |
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