Provider Demographics
NPI:1528405495
Name:LOVING NATURE ADULT RETREAT
Entity Type:Organization
Organization Name:LOVING NATURE ADULT RETREAT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:TATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-351-9964
Mailing Address - Street 1:8300 BISSONNET ST STE 130
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-3923
Mailing Address - Country:US
Mailing Address - Phone:713-351-9964
Mailing Address - Fax:
Practice Address - Street 1:12700 STAFFORD RD APT 722
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3572
Practice Address - Country:US
Practice Address - Phone:713-351-9964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services