MEDICARE: ALEXA ADULT DAY CARE

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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1477375830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXA ADULT DAY CARE

Provider Business Mailing Address
First Line	:	6913 CULLEN BLVD STE D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-5009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6913 CULLEN BLVD STE D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-5009
Country	:	US
Telephone Number	:	203-412-2111
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARY MITCHELL
Credential	:
Telephone Number	:	206-412-4011

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	10/28/2024

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Directions to “ALEXA ADULT DAY CARE ” Practice Location

Language	Start Address	Practice Location

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