MEDICARE: ALL HUMAN SERVICES CENTER 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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1801033600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL HUMAN SERVICES CENTER INC.

Provider Business Mailing Address
First Line	:	10101 FONDREN RD STE 532
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5147
Country	:	US
Telephone Number	:	713-778-1616
Fax Number	:	713-778-1726

Provider Business Practice Location Address
First Line	:	10101 FONDREN RD STE 532
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-5147
Country	:	US
Telephone Number	:	713-778-1616
Fax Number	:	713-778-1726

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	DR. PAULINE IGWE
Credential	:
Telephone Number	:	713-778-1616

Provider Enumeration Date	:	01/15/2009
Last Update Date	:	01/15/2009

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