MR. KEORRIC HOLIDAY

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Active Individual
NPI: 1568608420

Practice Address

3705 FORT HUNT DRIVE
Arlington, TX 76016

Phone: (817) 919-7013

Specialties

Specialty Code Primary License
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X Yes 14557506 (TX)

Frequently Asked Questions

NPI 1568608420 is the National Provider Identifier for MR. KEORRIC HOLIDAY, a Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Arlington, TX. This NPI was enumerated on December 26, 2008.
MR. KEORRIC HOLIDAY practices at 3705 FORT HUNT DRIVE, Arlington, TX 76016.

Quick Facts

NPI
1568608420
Type
Individual
Enumerated
Dec 26, 2008
Last Updated
Dec 26, 2008

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