CORPORATE SENIOR CENTER
Adult Care Home
Houston, Texas
Provider NPI: 1114041811
Organization Information:Organization Name: CORPORATE SENIOR CENTER
Practice Location:
9630 CLAREWOOD DR STE A2 HOUSTON, TX 77036 US
Tel: 713-777-5123 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
9630 CLAREWOOD DR STE A2 HOUSTON, TX 77036 US
Tel: 713-777-5123 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | TX | 117648 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
AMERIGROUP ID | 10014978 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin