Provider Demographics
NPI:1649416611
Name:SOWER FOUNDATION
Entity Type:Organization
Organization Name:SOWER FOUNDATION
Other - Org Name:COMMUNITY OF CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-658-0284
Mailing Address - Street 1:4802 LAZY TIMBERS DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4455
Mailing Address - Country:US
Mailing Address - Phone:281-973-9273
Mailing Address - Fax:
Practice Address - Street 1:4802 LAZY TIMBERS DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-4455
Practice Address - Country:US
Practice Address - Phone:281-973-9273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-23
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care