Tgl Residential LLC

NPI #1164969440 in Marshall, Texas

Provider Information

NPI Number: 1164969440
Entity Type: Organization
Organization Name: Tgl Residential LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 25, 2017
Last Updated: Feb 21, 2017

Practice Location

Address: 4311 FERNBROOK TER
City: Marshall
State: Texas
ZIP Code: 75672-4709
Phone: (903) 742-2097

Authorized Official

Name: MRS. SHEALIA SMITH MORRIS
Title: OWNER/PROJECT MANAGER
Phone: (903) 742-2097

Specialties & Taxonomy Codes

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

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