Andre Hancock Sr. Family Group Home

NPI #1396061685 in Red Oak, Texas

Provider Information

NPI Number: 1396061685
Entity Type: Organization
Organization Name: Andre Hancock Sr. Family Group Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 13, 2010
Last Updated: Apr 13, 2010

Practice Location

Address: 1012 FARM MARKET ROAD 2377
City: Red Oak
State: Texas
ZIP Code: 75154
Phone: (214) 460-6930

Authorized Official

Name: IRMA CROSBY
Title: PRESIDENT
Phone: (214) 460-6930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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