Organization
EXTENDED SENIOR CARE AND SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IAZA USMAN DO (DIRECTOR)
(832) 933-3444
Entity
Organization
Contact information
Practice address
101 S WOODSWAY ST W, CONROE, TX 77301-1390
(832) 933-3444
Mailing address
101 S WOODSWAY ST W, CONROE, TX 77301-1390
(832) 933-3444
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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