Healthcare Provider Details

I. General information

NPI: 1265626402
Provider Name (Legal Business Name): SUNNYSIDE ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 08/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8423T ALMEDA RD
HOUSTON TX
77054-4107
US

IV. Provider business mailing address

8423T ALMEDA RD
HOUSTON TX
77054-4107
US

V. Phone/Fax

Practice location:
  • Phone: 713-748-7370
  • Fax: 713-741-2880
Mailing address:
  • Phone: 713-748-7370
  • Fax: 713-741-2880

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. DELE DAVIES
Title or Position: DIRECTOR
Credential:
Phone: 713-748-7370