Provider Demographics
NPI:1083933329
Name:SPRING-WOODLANDS DAY HABILITATION LLC
Entity Type:Organization
Organization Name:SPRING-WOODLANDS DAY HABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGDA
Authorized Official - Middle Name:
Authorized Official - Last Name:IBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-298-4398
Mailing Address - Street 1:611 WESTRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2844
Mailing Address - Country:US
Mailing Address - Phone:281-298-4398
Mailing Address - Fax:281-946-5028
Practice Address - Street 1:611 WESTRIDGE RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2844
Practice Address - Country:US
Practice Address - Phone:281-298-4398
Practice Address - Fax:281-946-5028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services