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General NPI Number Information
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NPI Number | 1720315377
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Entity Type | Organization
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Legal Business Name | CAAM-D CARE FACILITIES INC
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 4018 BROOKMEADE DR
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City | HOUSTON
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State | TX
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Zip | 77045-5508
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Country | US
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Telephone | 832-881-4967
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Fax |
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Provider Business Mailing Address
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Address Line | 14111 DEL PAPA ST TRLR A-9
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City | HOUSTON
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State | TX
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Zip | 77047-5161
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Country | US
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Telephone | 832-881-4967
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. MARCIA MARIE BOLLAR
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Credential | CEO/PRESIDENT
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Telephone | 832-881-4967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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