MEDICARE: SENIOR HOUSING CENTERS INC

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	105925	TX

General Provider Information

NPI Number	:	1689027765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR HOUSING CENTERS INC

Provider Business Mailing Address
First Line	:	PO BOX 449
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77492-0449
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	526 5TH ST
Second Line	:
City	:	SEALY
State	:	TX
Zip	:	77474-2608
Country	:	US
Telephone Number	:	979-627-7225
Fax Number	:

Authorized Official
Title or Position	:	CORPORATE DIRECTOR
Name	:	DONNA MIKULENKA
Credential	:
Telephone Number	:	979-627-7225

Provider Enumeration Date	:	07/13/2016
Last Update Date	:	07/13/2016

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Directions to “SENIOR HOUSING CENTERS INC ” Practice Location

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