Lilly's Group Home, LLC

NPI #1194251751 in Forney, Texas

Provider Information

NPI Number
1194251751
Entity Type
Organization
Organization Name
Lilly's Group Home, LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
May 2, 2017
Last Updated
May 2, 2017

Practice Location

Address
1302 BUCKINGHAM DR
City
Forney
State
Texas
ZIP Code
75126-6475
Phone
(469) 263-9889

Authorized Official

Name
MRS. LILLIAN C. BIRGEN
Title
OWNER/PROGRAM MANAGER
Phone
(469) 263-9889

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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