Provider Demographics
NPI:1073880050
Name:ADLIFE COMMUNITY SERVICES INC
Entity Type:Organization
Organization Name:ADLIFE COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:OZUEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-891-8655
Mailing Address - Street 1:3018 ROADRUNNER WALK
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1111
Mailing Address - Country:US
Mailing Address - Phone:832-891-8665
Mailing Address - Fax:866-277-0461
Practice Address - Street 1:3018 ROADRUNNER WALK
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3542
Practice Address - Country:US
Practice Address - Phone:832-891-8665
Practice Address - Fax:866-277-0461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-19
Last Update Date:2011-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health