Provider Demographics
NPI:1790817377
Name:A&S COMMUNITY DEVELOPMENT
Entity Type:Organization
Organization Name:A&S COMMUNITY DEVELOPMENT
Other - Org Name:DOCKAL ROAD PERSONAL CARE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-254-6980
Mailing Address - Street 1:8211 DOCKAL RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77028
Mailing Address - Country:US
Mailing Address - Phone:713-635-4068
Mailing Address - Fax:713-635-1575
Practice Address - Street 1:8211 DOCKAL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77028
Practice Address - Country:US
Practice Address - Phone:713-254-6980
Practice Address - Fax:713-635-1575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-10
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000912310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility