Provider Demographics
NPI: | 1184860298 |
---|---|
Name: | DEBBIE ELAINE MORRIS |
Entity Type: | Organization |
Organization Name: | DEBBIE ELAINE MORRIS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | DEBBIE |
Authorized Official - Middle Name: | ELAINE |
Authorized Official - Last Name: | MORRIS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 713-449-4288 |
Mailing Address - Street 1: | PO BOX 280027 |
Mailing Address - Street 2: | |
Mailing Address - City: | HOUSTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77228-0027 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 713-449-4288 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 9889 CYPRESSWOOD DR APT 3105 |
Practice Address - Street 2: | |
Practice Address - City: | HOUSTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77070-3970 |
Practice Address - Country: | US |
Practice Address - Phone: | 713-449-4288 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-12-18 |
Last Update Date: | 2008-12-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |