Kitty Forrest Ellis

NPI #1669618179 in Temple, Texas

Provider Information

NPI Number: 1669618179
Entity Type: Organization
Organization Name: Kitty Forrest Ellis
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 5, 2009
Last Updated: Jan 5, 2009

Practice Location

Address: 2331 CANYON CREEK DR
City: Temple
State: Texas
ZIP Code: 76502-3112
Phone: (254) 771-2358

Authorized Official

Name: MRS. KITTY FORREST ELLIS
Title: OWNER
Phone: (254) 771-2358

Specialties & Taxonomy Codes

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

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