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VALUED LIFE ORGANIZATION/ALL ABOUT SENIORS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWINA SESSION (EXECUTIVE DIRECTOR)
(713) 812-8998
Entity
Organization

Contact information

Practice address
4800 W 34TH ST STE C54, HOUSTON, TX 77092-6659
(713) 812-8998
(713) 812-8999
Mailing address
4800 W 34TH ST STE C54, HOUSTON, TX 77092-6659
(713) 812-8998
(713) 812-8999

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
119239
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001003581
TX
01
10026989
AMERIGROUP
TX
01
6000184
UNITED HEALTHCARE/EVERCAR
TX
Enumeration date
10/09/2007
Last updated
10/09/2007
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