Organization · NPI-2

A Life Of Service INC

Day Training, Developmentally Disabled Services · Houston, TX

NPI number1194197855
StatusActive
Last updated in NPPESOct 21, 2015

Details

NPI
1194197855
Entity type
Organization (NPI-2)
Legal business name
A Life Of Service INC
Organization subpart
No
Enumeration date
Oct 21, 2015
Last updated
Oct 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services–TXYes
251S00000X Community/Behavioral Health–TX
253Z00000X In Home Supportive Care–TX

Practice location

1536 Hawthorne St
2
Houston, TX 77006-3660

Phone 832-628-1926

Mailing address

1536 Hawthorne St
2
Houston, TX 77006-3660

Phone 832-628-1926

Authorized official

Rashanna Dickson
Executive Director
8326281926

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