SR SAM

Custodial Care Facility

NPI: 1457787079Organization

Specialties, Licenses & Credentials

Custodial Care FacilityPrimary

Custodial Care Facility

Code: 311Z00000X

Adult Care Home Facility

Custodial Care Facility — Adult Care Home

Code: 311ZA0620X

Contact & Hours

Address: 502 N 5TH ST
LA PORTE, TX 77571
Phone: (832) 677-2248

Quick Facts

NPI: 1457787079
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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