Provider Demographics
NPI:1942717012
Name:WAYFINDERS DAY HABILITATIONS & RESPITE CARE
Entity Type:Organization
Organization Name:WAYFINDERS DAY HABILITATIONS & RESPITE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD DIRECTOR/ STAFF
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-670-0996
Mailing Address - Street 1:4611 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-3967
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4611 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-3967
Practice Address - Country:US
Practice Address - Phone:832-670-0996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization