Healthcare Provider Details

I. General information

NPI: 1295824548
Provider Name (Legal Business Name): SENIOR SUPPORT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 W 34TH ST
HOUSTON TX
77018-6318
US

IV. Provider business mailing address

905 W 34TH ST
HOUSTON TX
77018-6318
US

V. Phone/Fax

Practice location:
  • Phone: 713-868-1515
  • Fax: 713-868-3022
Mailing address:
  • Phone: 713-868-1515
  • Fax: 713-868-3022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. VICTORIA D. DAVIS
Title or Position: ADMINISTRATOR PRESIDENT
Credential: LVN
Phone: 713-868-1515