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Organization

SILVERADO SENIOR LIVING OF TEXAS

Active
Other names
Silverado At Home - Houston
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHERRY W JEROME MA, CMC (ADMINISTRATOR)
(832) 249-9940
Entity
Organization

Contact information

Practice address
13810 CHAMPION FOREST DR, SUITE 147, HOUSTON, TX 77069-1844
(832) 249-9940
(832) 249-9933
Mailing address
13810 CHAMPION FOREST DR, SUITE 147, HOUSTON, TX 77069-1844
(832) 249-9940
(832) 249-9933

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
010262
TX
251E00000X
Home Health Agency
010262
TX
253Z00000X
In Home Supportive Care Agency
Primary
010262
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010262
STATE LICENSE
TX
Enumeration date
01/19/2009
Last updated
01/19/2009
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