Lucille's Palace, LLC
Lucille's Palace, LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Mansfield, Texas. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3361 Harmon Rd Unit 2110Mansfield, TX 76063-5764
Phone: (817) 403-8465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X |
Record details
| NPI number | 1851924203 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dara James — Administrator · (817) 403-8465 |
| NPI enumerated | February 13, 2020 |
| Last updated in NPPES | June 5, 2023 |
| Certification date | June 5, 2023 |
| Mailing address | 3361 Harmon Rd Unit 2110, Mansfield, TX 76063-5764 |
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