Provider Demographics
NPI:1497078992
Name:THREE B'S ASSISTED LIVING
Entity Type:Organization
Organization Name:THREE B'S ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GODWIN
Authorized Official - Middle Name:CHIBUZOR
Authorized Official - Last Name:AMAEFULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-452-2495
Mailing Address - Street 1:8807 CHELSWORTH DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5824
Mailing Address - Country:US
Mailing Address - Phone:832-452-2495
Mailing Address - Fax:
Practice Address - Street 1:8807 CHELSWORTH DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5824
Practice Address - Country:US
Practice Address - Phone:832-452-2495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness