Organization
SACRED SENIORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE LEWIS MSW (EXECUTIVE DIRECTOR)
(936) 439-6033
Entity
Organization
Contact information
Practice address
144 WOOD FARM RD, HUNTSVILLE, TX 77320-1742
(936) 439-6033
(936) 439-6033
Mailing address
144 WOOD FARM RD, HUNTSVILLE, TX 77320-1742
(936) 439-6033
(936) 439-6033
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
251E00000X
Home Health Agency
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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