Provider Demographics
NPI:1780929810
Name:DAYTON TARKINGTON COMMUNITY CENTER, INC.
Entity type:Organization
Organization Name:DAYTON TARKINGTON COMMUNITY CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PRINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTWRIGHT
Authorized Official - Suffix:JR
Authorized Official - Credentials:JD
Authorized Official - Phone:713-522-2211
Mailing Address - Street 1:17019 HIGHWAY 321
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:TX
Mailing Address - Zip Code:77535-5816
Mailing Address - Country:US
Mailing Address - Phone:281-592-1225
Mailing Address - Fax:281-592-5892
Practice Address - Street 1:17019 HIGHWAY 321
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TX
Practice Address - Zip Code:77535-5816
Practice Address - Country:US
Practice Address - Phone:281-592-1225
Practice Address - Fax:281-592-5892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility