Provider Demographics
NPI:1568884708
Name:AFFORDABLE SENIOR CARE
Entity Type:Organization
Organization Name:AFFORDABLE SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-637-7383
Mailing Address - Street 1:PO BOX 1246
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77588-1246
Mailing Address - Country:US
Mailing Address - Phone:832-637-7383
Mailing Address - Fax:832-637-7643
Practice Address - Street 1:5726 BECKY LN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8324
Practice Address - Country:US
Practice Address - Phone:832-637-7383
Practice Address - Fax:832-637-7643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care