Provider Demographics
NPI:1801196423
Name:THE WORD HEALS PERSONAL CARE FACILITY
Entity Type:Organization
Organization Name:THE WORD HEALS PERSONAL CARE FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:O
Authorized Official - Last Name:EZE
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:713-444-6365
Mailing Address - Street 1:4020 BROADWAY
Mailing Address - Street 2:BOX 262295
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77207-2295
Mailing Address - Country:US
Mailing Address - Phone:713-939-0666
Mailing Address - Fax:713-939-0674
Practice Address - Street 1:9713 SPRINGBROOK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-9025
Practice Address - Country:US
Practice Address - Phone:713-939-0666
Practice Address - Fax:713-939-0674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-29
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1305163104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness