Provider Demographics
NPI:1720263163
Name:THE COLONY HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:THE COLONY HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALATAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-565-1733
Mailing Address - Street 1:5610 AVIS HILL CT
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-1659
Mailing Address - Country:US
Mailing Address - Phone:281-565-1733
Mailing Address - Fax:282-565-1738
Practice Address - Street 1:5610 AVIS HILL CT
Practice Address - Street 2:
Practice Address - City:FULSHEAR
Practice Address - State:TX
Practice Address - Zip Code:77441-1659
Practice Address - Country:US
Practice Address - Phone:281-565-1733
Practice Address - Fax:282-565-1738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010169251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health