Provider Demographics
NPI:1902157894
Name:HARRIS COUNTY ADULT DAY HEALTH CARE, INC
Entity Type:Organization
Organization Name:HARRIS COUNTY ADULT DAY HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OSAGIE
Authorized Official - Middle Name:O
Authorized Official - Last Name:ODEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-623-2420
Mailing Address - Street 1:12807 ASHFORD MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2136
Mailing Address - Country:US
Mailing Address - Phone:832-623-2420
Mailing Address - Fax:281-556-5591
Practice Address - Street 1:12807 ASHFORD MEADOW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2136
Practice Address - Country:US
Practice Address - Phone:832-623-2420
Practice Address - Fax:281-556-5591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility