Provider Demographics
NPI: | 1649523630 |
---|---|
Name: | PARTNERS ADULT DAY CENTER LLC |
Entity type: | Organization |
Organization Name: | PARTNERS ADULT DAY CENTER LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | VICE PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | ROMNEY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MORROW |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 972-491-9800 |
Mailing Address - Street 1: | 2109 W SPRING CREEK PKWY |
Mailing Address - Street 2: | SUITE 300 |
Mailing Address - City: | PLANO |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75023-4189 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 972-491-9800 |
Mailing Address - Fax: | 972-491-3600 |
Practice Address - Street 1: | 2109 W SPRING CREEK PKWY |
Practice Address - Street 2: | SUITE 300 |
Practice Address - City: | PLANO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75023-4189 |
Practice Address - Country: | US |
Practice Address - Phone: | 972-491-9800 |
Practice Address - Fax: | 972-491-3600 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-10-16 |
Last Update Date: | 2012-10-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 135303 | 385H00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 385H00000X | Respite Care Facility | Respite Care |