Healthcare Provider Details

I. General information

NPI: 1063575348
Provider Name (Legal Business Name): A & M SENIOR VILLAGE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3917 ANDERSON RD
HOUSTON TX
77053-2407
US

IV. Provider business mailing address

PO BOX 451533
HOUSTON TX
77245-1533
US

V. Phone/Fax

Practice location:
  • Phone: 713-433-7317
  • Fax: 713-413-1242
Mailing address:
  • Phone: 713-433-7317
  • Fax: 713-413-1242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. A. R. MORRISON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 713-433-7317