Provider Demographics
NPI:1598953150
Name:VALUED LIFE ORGANIZATION/ALL ABOUT SENIORS
Entity Type:Organization
Organization Name:VALUED LIFE ORGANIZATION/ALL ABOUT SENIORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SESSION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-812-8998
Mailing Address - Street 1:4800 W 34TH ST STE C54
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-6659
Mailing Address - Country:US
Mailing Address - Phone:713-812-8998
Mailing Address - Fax:713-812-8999
Practice Address - Street 1:4800 W 34TH ST STE C54
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-6659
Practice Address - Country:US
Practice Address - Phone:713-812-8998
Practice Address - Fax:713-812-8999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119239261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6000184OtherUNITED HEALTHCARE/EVERCAR
TX001003581Medicaid
TX10026989OtherAMERIGROUP