Andre Alexander Macedon
Andre Alexander Macedon is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Garland, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2009
Practice location Address checks out
1614 Skyline DrGarland, TX 75043-1771
Phone: (214) 703-5115
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X (TX) |
|---|
Record details
| NPI number | 1952548158 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 10, 2009 |
| Last updated in NPPES | January 10, 2009 |
| Mailing address | 1614 Skyline Dr, Garland, TX 75043-1771 |
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