Provider Demographics
NPI:1083803175
Name:ALL ABOUT SENIORS ADULT DAY CARE
Entity Type:Organization
Organization Name:ALL ABOUT SENIORS ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:N
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-812-8998
Mailing Address - Street 1:4800 W 34TH ST STE C54
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-6659
Mailing Address - Country:US
Mailing Address - Phone:713-812-8998
Mailing Address - Fax:713-812-8999
Practice Address - Street 1:4800 WEST 34 STE C-54
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-5719
Practice Address - Country:US
Practice Address - Phone:713-812-8998
Practice Address - Fax:713-812-8999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119239302R00000X, 305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization