Sr Sam
Sr Sam is a Custodial Care Facility in LA Porte, Texas. Licensed in Texas. Registered with an NPI since 2013.
- Licensed in
- TX
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
502 N 5th StLA Porte, TX 77571-3310
Phone: (832) 677-2248
Fax: (281) 471-1263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Custodial Care Facility (primary) | Taxonomy 311Z00000X (TX) |
|---|---|
| Adult Care Home Facility | Taxonomy 311ZA0620X (TX) |
Record details
| NPI number | 1457787079 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Constance Gordon — Owner · (832) 677-2248 |
| NPI enumerated | September 16, 2013 |
| Last updated in NPPES | September 16, 2013 |
| Mailing address | 502 N 5th St, La Porte, TX 77571-3310 |