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NPI Code Detail

MEDICARE: A LITTLE SANCTUARY, INC.

MEDICARE: A LITTLE SANCTUARY, INC.
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
1311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1629731641
Entity Type Code : Organization
Provider Name (Legal Business Name) : A LITTLE SANCTUARY, INC.
Provider Business Mailing Address
First Line : 3530 GREEN CREST DR APT 723
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4172
Country : US
Telephone Number : 832-396-4088
Fax Number :
Provider Business Practice Location Address
First Line : 3530 GREEN CREST DR APT 723
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4172
Country : US
Telephone Number : 832-396-4088
Fax Number :
Authorized Official
Title or Position : OWNER/CASE MANAGER
Name : VALENCIA LINTON
Credential :
Telephone Number : 832-396-4088
Provider Enumeration Date : 10/17/2021
Last Update Date : 10/17/2021

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Directions to “A LITTLE SANCTUARY, INC. ” Practice Location

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