MEDICARE: DAILY CARE FACILITIES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1104520311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAILY CARE FACILITIES LLC

Provider Business Mailing Address
First Line	:	11 LAUREL WREATH TRL
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-2393
Country	:	US
Telephone Number	:	832-427-7955
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 LAUREL WREATH TRL
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-2393
Country	:	US
Telephone Number	:	832-427-7955
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM MANAGER
Name	:	EKENEDILICHUKWU OKORO
Credential	:
Telephone Number	:	832-427-7955

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	03/30/2023

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