Provider Demographics
NPI:1639636301
Name:ALTERNATIVE COMMUNITY SERVICES INC. OF GREATER HOUSTON
Entity Type:Organization
Organization Name:ALTERNATIVE COMMUNITY SERVICES INC. OF GREATER HOUSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANELL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LOCKWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-668-8820
Mailing Address - Street 1:1035 DAIRY ASHFORD RD STE 142
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-4608
Mailing Address - Country:US
Mailing Address - Phone:281-668-8820
Mailing Address - Fax:281-668-7748
Practice Address - Street 1:1035 DAIRY ASHFORD RD STE 142
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-4608
Practice Address - Country:US
Practice Address - Phone:281-668-8820
Practice Address - Fax:844-371-1091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-28
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty