Provider Demographics
NPI:1437286226
Name:M & Y EXTRAORDINARY CARE INC.
Entity Type:Organization
Organization Name:M & Y EXTRAORDINARY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-433-8346
Mailing Address - Street 1:16526 LOST QUAIL DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-5347
Mailing Address - Country:US
Mailing Address - Phone:713-443-8346
Mailing Address - Fax:281-438-5979
Practice Address - Street 1:16526 LOST QUAIL DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-5347
Practice Address - Country:US
Practice Address - Phone:713-443-8346
Practice Address - Fax:281-438-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services