MEDICARE: ALDA HEALTH SERVICES

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	251J00000X	Nursing Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	944941	OTHER	TX	TEXAS BOARD OF NURSING

General Provider Information

NPI Number	:	1548788805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALDA HEALTH SERVICES

Provider Business Mailing Address
First Line	:	13811 NAOMI HOLLOW LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3309
Country	:	US
Telephone Number	:	713-320-8361
Fax Number	:

Provider Business Practice Location Address
First Line	:	13811 NAOMI HOLLOW LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-3309
Country	:	US
Telephone Number	:	832-328-8442
Fax Number	:

Authorized Official
Title or Position	:	ADINISTRATOR
Name	:	MRS. ALHERRY DOGONYARO
Credential	:
Telephone Number	:	713-320-8361

Provider Enumeration Date	:	09/06/2017
Last Update Date	:	09/06/2017

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Directions to “ALDA HEALTH SERVICES ” Practice Location

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