Provider Demographics
NPI:1639447469
Name:VAL-VERDES CARE CENTERS,INC
Entity Type:Organization
Organization Name:VAL-VERDES CARE CENTERS,INC
Other - Org Name:MARSH PERSONAL CARE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXEC. DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:281-458-9321
Mailing Address - Street 1:10142 VALLEY BREEZE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77078-3722
Mailing Address - Country:US
Mailing Address - Phone:281-458-9321
Mailing Address - Fax:281-458-1860
Practice Address - Street 1:10142 VALLEY BREEZE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77078-3722
Practice Address - Country:US
Practice Address - Phone:281-458-9321
Practice Address - Fax:281-458-1860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX133167310400000X
104921311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)