Provider Demographics
NPI:1083985261
Name:AMOR MAS AMOR, INC
Entity Type:Organization
Organization Name:AMOR MAS AMOR, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-727-6209
Mailing Address - Street 1:197 SHELLY RD
Mailing Address - Street 2:
Mailing Address - City:WILMER
Mailing Address - State:TX
Mailing Address - Zip Code:75172-2316
Mailing Address - Country:US
Mailing Address - Phone:361-727-6209
Mailing Address - Fax:
Practice Address - Street 1:197 SHELLY RD
Practice Address - Street 2:
Practice Address - City:WILMER
Practice Address - State:TX
Practice Address - Zip Code:75172-2316
Practice Address - Country:US
Practice Address - Phone:361-727-6209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child