| NPI | 1093251928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY PENN Owner/Manager 832-621-9359 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: TX 666663) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: TX 666663) |
| 261QH0100X Clinic/Center, Health Services (Licence: TX 666663) | |
| 311500000X Alzheimer Center (Dementia Center) (Licence: TX 666663) | |
| 311Z00000X Custodial Care Facility (Licence: TX 666663) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: TX 666663) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 666663) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 666663) | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: TX 666663) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 666663) | |
| 3416L0300X Ambulance, Land Transport (Licence: TX 666663) | |
| 343800000X Secured Medical Transport (VAN) (Licence: TX 666663) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: TX 666663) | |
| 385H00000X Respite Care (Licence: TX 666663) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: TX 666663) | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |