Doctor Name: | MS. FLORENCE N BENNETT |
NPI Number: | 1700965167 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 86H |
Business Practice Address: | 11122 Colebrook Dr Houston, TX - 770721922 |
Business Phone Number: | 7136678307 |
Business Fax Number: | 7135207623 |
Mailing Address: | Po Box 300079, HOUSTON |
State: | TX |
Postal Code: | 772300079 |
Phone Number: | 7133031325 |
Fax Number: | 7135207623 |
NPI Enumeration Date: | 11/04/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320600000X |
License Number: | 86H |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |