Provider Demographics
NPI:1033481742
Name:MARINA BAY MANAGEMENT, LLC
Entity Type:Organization
Organization Name:MARINA BAY MANAGEMENT, LLC
Other - Org Name:REJOICE ADULT DAY ACTIVITY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:V
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-541-3974
Mailing Address - Street 1:14223 MARINA BAY LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7487
Mailing Address - Country:US
Mailing Address - Phone:832-541-3974
Mailing Address - Fax:
Practice Address - Street 1:779 NORMANDY ST
Practice Address - Street 2:SUITE 125
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-3599
Practice Address - Country:US
Practice Address - Phone:832-541-3974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care