IndividualActive
Jackie Henderson
NPI 1376192823 · Physical Disabilities Residential Treatment Facility · Dallas, TX
Provider details
- NPI number
- 1376192823
- Entity type
- Individual
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
7041 Hedgebrook Dr
Dallas, TX 75249
Phone: (972) 822-8115
Approximate (ZIP-level) locationGet directions
Mailing address
7041 Hedgebrook Dr
Dallas, TX 75249
Registry dates
- Enumerated
- 2019-09-07
- Last updated
- 2019-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.