Healthcare Provider Details

I. General information

NPI: 1124347471
Provider Name (Legal Business Name): LOVING ARMS SENIOR ACTIVITY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2010
Last Update Date: 05/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 WILSON RD
HUMBLE TX
77338
US

IV. Provider business mailing address

7402 FALLCREEK BEND 736 WILSON
HUMBLE TX
77396
US

V. Phone/Fax

Practice location:
  • Phone: 281-548-1700
  • Fax:
Mailing address:
  • Phone: 281-548-1700
  • Fax:

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: CASSANDRA PLEASANT
Title or Position: DIRECTOR
Credential: MA, LLT
Phone: 281-548-1700