Provider Demographics
| NPI: | 1184860298 |
|---|---|
| Name: | DEBBIE ELAINE MORRIS |
| Entity type: | Organization |
| Organization Name: | DEBBIE ELAINE MORRIS |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DIRECTOR |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | DEBBIE |
| Authorized Official - Middle Name: | ELAINE |
| Authorized Official - Last Name: | MORRIS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 713-449-4288 |
| Mailing Address - Street 1: | PO BOX 280027 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HOUSTON |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 77228-0027 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 713-449-4288 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 9889 CYPRESSWOOD DR APT 3105 |
| Practice Address - Street 2: | |
| Practice Address - City: | HOUSTON |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 77070-3970 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 713-449-4288 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2008-12-18 |
| Last Update Date: | 2008-12-30 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
| No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |