Plum Tree

NPI #1790879302 in Kennedale, Texas

Provider Information

NPI Number: 1790879302
Entity Type: Organization
Organization Name: Plum Tree
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 925 KENNEDALE PKWY
City: Kennedale
State: Texas
ZIP Code: 76060
Phone: (682) 587-8523

Authorized Official

Name: KIM HAMPTON
Title: PRESIDENT
Phone: (682) 587-8523

Specialties & Taxonomy Codes

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

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