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Organization
LJM ADULT DAY CARE FACILITY
Active
Organization
LJM ADULT DAY CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FLORIDASTEANE IVORY (CEO/PRESIDENT)
(832) 418-2978
Entity
Organization
Contact information
Practice address
9896 BISSONNET ST STE 350, HOUSTON, TX 77036-8164
(832) 418-2978
Mailing address
9896 BISSONNET ST STE 350, HOUSTON, TX 77036-8164
(832) 418-2978
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
NONE
TX
251E00000X
Home Health Agency
Primary
—
—
347B00000X
Bus
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5467843
—
TX
Enumeration date
08/29/2011
Last updated
08/29/2011
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