Organization
LIDO SENIOR CLUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD DAM LE (DIRECTOR)
(917) 445-7201
Entity
Organization
Contact information
Practice address
12800 VETERANS MEMORIAL DR, HOUSTON, TX 77014-2004
(917) 445-7201
(281) 858-2070
Mailing address
11703 GALLANT RIDGE LANE, HOUSTON, TX 77082-6832
(917) 445-7201
(281) 858-2070
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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