Organization
ELDERLY CARE OF TEXAS
Active
Other names
Elderly Care Of Texas
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL MARTIN MILLER (ADMINISTRATOR)
(713) 774-0155
Entity
Organization
Contact information
Practice address
9888 BISSONNET ST STE 630, HOUSTON, TX 77036-8250
(713) 774-0155
(713) 777-0155
Mailing address
9888 BISSONNET ST STE 630, HOUSTON, TX 77036-8250
(713) 774-0155
(713) 777-0155
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
014223
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAID
—
TX
Enumeration date
09/25/2012
Last updated
09/25/2012
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