# VAUGHN GAGE ADULT WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487258000
- **Authorized official:** ASHEVA PHILLIPS (CEO)
- **Authorized official phone:** (713) 291-1567

## Contact information

- **Practice address:** 17478 NORTHWEST FWY, JERSEY VILLAGE, TX 77040-1002
- **Practice address phone:** (713) 291-1567
- **Mailing address:** 9406 FERN WOOD FRST, HOUSTON, TX 77040-6892
- **Mailing address phone:** (713) 291-1567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 11/24/2020
- **Last updated:** 08/20/2021