Provider Demographics
NPI:1326422684
Name:ANOINTED PALMS ASSISTED LIVING
Entity Type:Organization
Organization Name:ANOINTED PALMS ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANETRIA
Authorized Official - Middle Name:LASHONA
Authorized Official - Last Name:CARAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-807-1001
Mailing Address - Street 1:9393 TIDWELL RD APT 3011
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77078-3445
Mailing Address - Country:US
Mailing Address - Phone:832-807-1001
Mailing Address - Fax:
Practice Address - Street 1:9393 TIDWELL RD APT 3011
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77078-3445
Practice Address - Country:US
Practice Address - Phone:832-807-1001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility