MS. Demetria Renee Fairley

NPI #1730507989 in Rosharon, Texas

Provider Information

NPI Number: 1730507989
Entity Type: Individual
Name: MS. Demetria Renee Fairley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 4, 2014
Last Updated: Mar 15, 2021

Practice Location

Address: 8310 ROSE PETALS LN
City: Rosharon
State: Texas
ZIP Code: 77583-1907
Phone: (346) 305-1688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X
Day Training/Habilitation Specialist	373H00000X
Respite Care	385H00000X

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Organizations

Provider Name	Specialty	City
Redemptive Place LLC	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Rosharon	AI Deep Dive
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