1457787079 SR SAM

Custodial Care Facility

Active

Basic Information

Organization Name
SR SAM
Enumeration Date
September 16, 2013
Last Update
September 16, 2013
Authorized Official
CONSTANCE K GORDON
OWNER
Phone: (832) 677-2248

Practice Location

Address
502 N 5TH ST
LA PORTE, TX 775713310
Phone
(832) 677-2248
Fax
(281) 471-1263

Mailing Address

Address
502 N 5TH ST
LA PORTE, TX 775713310
Phone
(832) 677-2248

Specialties & Taxonomies

Specialty Code Classification License State Primary
Adult Care Home Facility
Adult Care Home
311ZA0620X Custodial Care Facility N/A TX No
Custodial Care Facility
311Z00000X Custodial Care Facility N/A TX Primary

Frequently Asked Questions

What is SR SAM's NPI number?
SR SAM's NPI number is 1457787079.
Which doctor has NPI number 1457787079?
The doctor with NPI number 1457787079 is SR SAM.
What is SR SAM's practice address?
SR SAM's practice address is 502 N 5TH ST, LA PORTE, TX, 775713310.
Which doctor practices at 502 N 5TH ST, LA PORTE, TX, 775713310?
SR SAM practices at 502 N 5TH ST, LA PORTE, TX, 775713310.
What is SR SAM's phone number?
SR SAM's phone number is (832) 677-2248.
Who is (832) 677-2248?
(832) 677-2248 is the phone number for SR SAM.
What is SR SAM's specialty?
SR SAM's specialty is Custodial Care Facility.
What type of doctor is SR SAM?
SR SAM is a Custodial Care Facility.
Is SR SAM a Custodial Care Facility?
Yes, SR SAM is a Custodial Care Facility.
Is SR SAM still practicing?
Yes, SR SAM is currently practicing.
Is SR SAM accepting new patients?
SR SAM may be accepting new patients. Please call their office at (832) 677-2248 to inquire about availability.
Is NPI 1457787079 still active?
Yes, NPI 1457787079 is currently active.
Where does SR SAM practice?
SR SAM practices in LA PORTE, TX.