JACKIE D. HENDERSON – NPI #1376192823
Residential Treatment Facility, Physical Disabilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
JACKIE HENDERSON is a residential treatment facility (RTF) located in DALLAS, TX. NPPES has assigned the NPI number 1376192823 to JACKIE HENDERSON on September 07, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.
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NPI Profile for
JACKIE D. HENDERSON
(about 7 years ago)
DALLAS, TX 75249 Phone: (972) 822-8115 Fax:
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320700000X - Residential Treatment Facility, Physical Disabilities (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.