Organization
DEOLYVER AGING AND DISABILITY SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEMETRIA L HALLEY MBA (PRESIDENT)
(713) 365-0101
Entity
Organization
Contact information
Practice address
1423 LAZY SPRING DR, MISSOURI CITY, TX 77489-5213
(832) 230-0343
(832) 365-7986
Mailing address
8313 SOUTHWEST FWY, 112, HOUSTON, TX 77074-1611
(713) 365-0101
(832) 365-7986
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/05/2013
Last updated
01/09/2014
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