Provider Demographics
NPI:1306367115
Name:OUR HOUSE TOO ADULT DAY SERVICES LLC
Entity Type:Organization
Organization Name:OUR HOUSE TOO ADULT DAY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-500-4969
Mailing Address - Street 1:5766 PECAN TRCE
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38135-0249
Mailing Address - Country:US
Mailing Address - Phone:901-500-4969
Mailing Address - Fax:662-873-2673
Practice Address - Street 1:5766 PECAN TRCE
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38135-0249
Practice Address - Country:US
Practice Address - Phone:901-500-4969
Practice Address - Fax:662-873-2673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care