| Palace 1art Day Hab | |
|
2115 Mesa Wood Dr Glenn Heights TX 75154-8583 | |
| (469) 235-5443 | |
| Not Available |
| Full Name | Palace 1art Day Hab |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 2115 Mesa Wood Dr, Glenn Heights, Texas |
| Authorized Official Name and Position | Virginia Irene Wooten (OWNER) |
| Authorized Official Contact | 4692355443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palace 1art Day Hab 2115 Mesa Wood Dr Glenn Heights TX 75154-8583 Ph: (469) 235-5443 | Palace 1art Day Hab 2115 Mesa Wood Dr Glenn Heights TX 75154-8583 Ph: (469) 235-5443 |
| NPI Number | 1679254049 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679254049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102X00000X | Poetry Therapist | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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