Provider Demographics
NPI:1821231960
Name:3D MANAGEMENT, INC
Entity Type:Organization
Organization Name:3D MANAGEMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-369-2067
Mailing Address - Street 1:12811 PLEASANT VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-6221
Mailing Address - Country:US
Mailing Address - Phone:281-369-2067
Mailing Address - Fax:281-369-2433
Practice Address - Street 1:12811 PLEASANT VALLEY DR
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-6221
Practice Address - Country:US
Practice Address - Phone:281-369-2067
Practice Address - Fax:281-369-2433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-17
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX126242310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126242OtherSTATE LICENSE