Provider Demographics
NPI:1982813879
Name:ORGANIZATIONAL CONSULTANTS OF AMERICA ORCA, INC.
Entity Type:Organization
Organization Name:ORGANIZATIONAL CONSULTANTS OF AMERICA ORCA, INC.
Other - Org Name:MOUNT PLEASANT HOSPITALITY HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LNFA, CPED
Authorized Official - Phone:903-572-9893
Mailing Address - Street 1:804 W 16TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-2435
Mailing Address - Country:US
Mailing Address - Phone:903-572-9893
Mailing Address - Fax:903-572-8873
Practice Address - Street 1:804 W 16TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-2435
Practice Address - Country:US
Practice Address - Phone:903-572-9893
Practice Address - Fax:903-572-8873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117078313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX117078OtherTX NURSING FACILITY LICEN