MEDICARE: BOWEN ENTERPRISES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1528102514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOWEN ENTERPRISES

Provider Business Mailing Address
First Line	:	13043 SKYMEADOW DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3530
Country	:	US
Telephone Number	:	832-367-0339
Fax Number	:	281-589-6234

Provider Business Practice Location Address
First Line	:	13043 SKYMEADOW DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3530
Country	:	US
Telephone Number	:	281-589-6234
Fax Number	:	281-589-6234

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAULINE COOPER
Credential	:
Telephone Number	:	832-367-0339

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	08/07/2008

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Directions to “BOWEN ENTERPRISES ” Practice Location

Language	Start Address	Practice Location

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