Provider Demographics
NPI:1477635050
Name:HEALTH INCORPORATED ADULT DAYCARE
Entity Type:Organization
Organization Name:HEALTH INCORPORATED ADULT DAYCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CEDELL
Authorized Official - Middle Name:ALVIN
Authorized Official - Last Name:LOVINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-532-3977
Mailing Address - Street 1:217 CACTUS ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78203-1507
Mailing Address - Country:US
Mailing Address - Phone:210-532-3977
Mailing Address - Fax:210-532-2126
Practice Address - Street 1:217 CACTUS ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78203-1507
Practice Address - Country:US
Practice Address - Phone:210-532-3977
Practice Address - Fax:210-532-2126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115130251J00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251J00000XAgenciesNursing Care
Not Answered251S00000XAgenciesCommunity/Behavioral Health