Provider Demographics
NPI:1528360666
Name:VERITAS ASSISSTED LIVING, LLC
Entity Type:Organization
Organization Name:VERITAS ASSISSTED LIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:BESONG
Authorized Official - Last Name:ENOW
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:713-922-9220
Mailing Address - Street 1:3607 COTTAGE LAKE CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7423
Mailing Address - Country:US
Mailing Address - Phone:713-922-9220
Mailing Address - Fax:
Practice Address - Street 1:3607 COTTAGE LAKE CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7423
Practice Address - Country:US
Practice Address - Phone:713-922-9220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-23
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities