CHEVELL DIXON
NPI 1700377363
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Longview, TX
About Chevell Dixon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHEVELL DIXON (NPI 1700377363) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Longview, Texas and active in the NPI registry since May 2018.
NPPES Registry Identity
Specialties & Licenses 2
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700377363, enumerated as an "individual" on May 19, 2018.
The provider is located at 168 LONESOME PINE RD LONGVIEW, TX 75605 and the phone number is (903) 746-9033.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.