Provider Demographics
NPI:1154675908
Name:SENIOR SOCIAL CENTER LLC
Entity Type:Organization
Organization Name:SENIOR SOCIAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:LIU
Authorized Official - Middle Name:
Authorized Official - Last Name:LAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-782-1983
Mailing Address - Street 1:9347 RICHMOND AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3948
Mailing Address - Country:US
Mailing Address - Phone:713-782-1983
Mailing Address - Fax:
Practice Address - Street 1:9347 RICHMOND AVE STE A1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3948
Practice Address - Country:US
Practice Address - Phone:713-782-1983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX135462261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care