Healthcare Provider Details

I. General information

NPI: 1962282699
Provider Name (Legal Business Name): THREE TIMES YES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2023
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 MALMEDY RD # A
HOUSTON TX
77033-1615
US

IV. Provider business mailing address

PO BOX 14073
HOUSTON TX
77221-4073
US

V. Phone/Fax

Practice location:
  • Phone: 409-241-3655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. HANNA-MARIE ADAMS-EMERSON
Title or Position: OWNER
Credential:
Phone: 409-241-3655