Provider Demographics
NPI:1699146894
Name:WALKER WEBB RESIDENTIAL AND HEALTH SERVICES, LP
Entity type:Organization
Organization Name:WALKER WEBB RESIDENTIAL AND HEALTH SERVICES, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHEA
Authorized Official - Middle Name:DIAN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:214-797-1000
Mailing Address - Street 1:6410 LOVE DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-4003
Mailing Address - Country:US
Mailing Address - Phone:214-797-1000
Mailing Address - Fax:214-780-0807
Practice Address - Street 1:6410 LOVE DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-4003
Practice Address - Country:US
Practice Address - Phone:214-797-1000
Practice Address - Fax:214-780-0807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX177F000000X251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services