Provider Demographics
NPI:1568695971
Name:OK KORRAL DAYCARE, INC.
Entity Type:Organization
Organization Name:OK KORRAL DAYCARE, INC.
Other - Org Name:A UNIQUE COMMUNITY BASED SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:WALDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-633-6627
Mailing Address - Street 1:PO BOX 280074
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77228-0074
Mailing Address - Country:US
Mailing Address - Phone:713-633-6627
Mailing Address - Fax:713-633-6622
Practice Address - Street 1:9114 N WAYSIDE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77028-1031
Practice Address - Country:US
Practice Address - Phone:713-633-6627
Practice Address - Fax:713-633-6622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency