Januette London
Januette London is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Longview, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2008
Practice location Address checks out
501 E Young StLongview, TX 75602-1829
Phone: (903) 220-8481
Fax: (903) 758-1836
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X (TX) |
|---|
Record details
| NPI number | 1619153905 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2008 |
| Last updated in NPPES | January 16, 2008 |
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