Organization
VAUGHN GAGE ADULT WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHEVA PHILLIPS (CEO)
(713) 291-1567
Entity
Organization
Contact information
Practice address
17478 NORTHWEST FWY, JERSEY VILLAGE, TX 77040-1002
(713) 291-1567
Mailing address
9406 FERN WOOD FRST, HOUSTON, TX 77040-6892
(713) 291-1567
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
08/20/2021
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