Organization Name: | PHILLIPS ADULT DAYCARE AND RESPITE |
NPI Number: | 1215278965 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL N PHILLIPS (TREASURER) |
Mailing Address: | 5906 Pardee St Houston |
State: | TX US |
Postal Code: | 770263043 |
Phone Number: | 7138058901 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2013 |
NPI Last Update Date: | 06/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |