Provider Demographics
NPI:1861774739
Name:HOUSE OF ELEGANCE
Entity type:Organization
Organization Name:HOUSE OF ELEGANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIR.
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-868-1702
Mailing Address - Street 1:909 PEPPERIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-2001
Mailing Address - Country:US
Mailing Address - Phone:214-868-1702
Mailing Address - Fax:
Practice Address - Street 1:909 PEPPERIDGE CT
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-2001
Practice Address - Country:US
Practice Address - Phone:214-868-1702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORNING STARR NEW BEGINNINGS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility