Integration Group Home LLC
NPI #1861236440 in Mansfield, Texas
Provider Information
- NPI Number
- 1861236440
- Entity Type
- Organization
- Organization Name
- Integration Group Home LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 19, 2024
- Last Updated
- Jun 19, 2024
Practice Location
Authorized Official
- Name
- STEPHANIE NDIFOR FOMEKON
- Title
- CEO/MANAGER
- Phone
- (612) 227-5811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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