Provider Demographics
NPI:1356768667
Name:THE ANNUNCIATION MATERNITY HOME, INC.
Entity type:Organization
Organization Name:THE ANNUNCIATION MATERNITY HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:AARONSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-864-7755
Mailing Address - Street 1:3610 SHELL RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-9246
Mailing Address - Country:US
Mailing Address - Phone:512-864-7755
Mailing Address - Fax:
Practice Address - Street 1:3610 SHELL RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-9246
Practice Address - Country:US
Practice Address - Phone:512-864-7755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX504211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty