Provider Demographics
NPI:1598940066
Name:LATINO ADULT AND SENIOR SERVICES, INC.
Entity Type:Organization
Organization Name:LATINO ADULT AND SENIOR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:ZEPEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-223-1391
Mailing Address - Street 1:3518 POLK ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77003-4844
Mailing Address - Country:US
Mailing Address - Phone:713-223-1391
Mailing Address - Fax:713-222-2338
Practice Address - Street 1:3518 POLK ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77003-4844
Practice Address - Country:US
Practice Address - Phone:713-223-1391
Practice Address - Fax:713-222-2338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care