Emmanuel Residential Services

NPI #1245509504 in White Oak, Texas

Provider Information

NPI Number
1245509504
Entity Type
Organization
Organization Name
Emmanuel Residential Services
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 15, 2011
Last Updated
Nov 30, 2023

Practice Location

Address
205 E US HIGHWAY 80
State
Texas
ZIP Code
75693-2103
Phone
(903) 315-8302

Authorized Official

Name
MRS. LA TONYA S POLK
Title
PROGRAM MANAGER
Phone
(903) 315-8302

Specialties & Taxonomy Codes

Specialty
Contractor
Day Training, Developmentally Disabled Services
Clinic/Center - Adult Day CareAdult Day Care
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Assisted Living Facility

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