Provider Demographics
NPI:1730483611
Name:IN-HOUSE DAY ACTIVITY & HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:IN-HOUSE DAY ACTIVITY & HEALTH SERVICES, INC.
Other - Org Name:IN-HOUSE ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-583-4620
Mailing Address - Street 1:1524 DOHERTY AVE
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-4019
Mailing Address - Country:US
Mailing Address - Phone:956-583-4620
Mailing Address - Fax:956-583-4621
Practice Address - Street 1:1242 E BUSINESS HIGHWAY 83
Practice Address - Street 2:#2
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-9307
Practice Address - Country:US
Practice Address - Phone:956-583-4620
Practice Address - Fax:956-583-4621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care