Organization
MADIE ENTERPRISE INC DBA OLD YALE ADULT DAY CARE
Active
Parent organization
MADIE ENTERPRISE INC DBA OLD YALE ADULT DAY CARE
Other names
Old Yale Adult Day Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADIE ENTERPRISE INC DBA OLD YALE ADULT DAY CARE
Authorized official
MR. JOHNNY GAYLON HOLLINS (CEO)
(713) 695-6100
Entity
Organization
Contact information
Practice address
4414 OLD YALE ST, HOUSTON, TX 77018-4506
(713) 695-6100
(713) 695-6349
Mailing address
4414 OLD YALE ST, HOUSTON, TX 77018-4506
(713) 695-6100
(713) 695-6349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125917
TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES
TX
Enumeration date
02/22/2008
Last updated
07/21/2022
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