Organization Name: | HOUSTON'S AMAZING PLACE |
NPI Number: | 1154610053 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACEY DOSS BROWN (EXECUTIVE DIRECTOR) |
Mailing Address: | 3735 Drexel Dr Houston |
State: | TX US |
Postal Code: | 770276896 |
Phone Number: | 7135520420 |
Fax Number: | 7135520165 |
NPI Enumeration Date: | 03/31/2011 |
NPI Last Update Date: | 03/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 126905 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |