Judy Lynn Broyles

NPI #1164046637 in Gladewater, Texas

Provider Information

NPI Number: 1164046637
Entity Type: Individual
Name: Judy Lynn Broyles
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 1, 2020
Last Updated: Dec 14, 2020

Practice Location

Address: 1088 N WILLOW OAK RD
City: Gladewater
State: Texas
ZIP Code: 75647-7811
Phone: (903) 714-3099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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