Provider Demographics
NPI:1619304698
Name:AMOR LIVING
Entity Type:Organization
Organization Name:AMOR LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:CATHRINE
Authorized Official - Last Name:EHIGIE
Authorized Official - Suffix:
Authorized Official - Credentials:QIDP
Authorized Official - Phone:512-293-9093
Mailing Address - Street 1:6207 RINGSBY RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78747-2679
Mailing Address - Country:US
Mailing Address - Phone:512-293-9093
Mailing Address - Fax:
Practice Address - Street 1:6207 RINGSBY RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78747-2679
Practice Address - Country:US
Practice Address - Phone:512-293-9093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities