Sheila Isaac

NPI #1750491791 in Longview, Texas

Provider Information

NPI Number: 1750491791
Entity Type: Organization
Organization Name: Sheila Isaac
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 30, 2006
Last Updated: Jul 21, 2007

Practice Location

Address: 409 S MAIN ST
Address 2: SUITE A
City: Longview
State: Texas
ZIP Code: 75601-7432
Phone: (903) 758-9886

Authorized Official

Name: MISS SHEILA F ISAAC
Title: ADMINISTRATOR
Phone: (903) 758-9886

Specialties & Taxonomy Codes

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

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