| Old Yale Adult Day Care | |
|
4414 Old Yale St Houston TX 77018-4506 | |
| (713) 695-6100 | |
| (713) 695-6349 |
| Full Name | Old Yale Adult Day Care |
|---|---|
| Speciality | Clinic/center - Adult Day Care |
| Location | 4414 Old Yale St, Houston, Texas |
| Authorized Official Name and Position | Johnny Gaylon Hollins (CEO) |
| Authorized Official Contact | 7136956100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Yale Adult Day Care 4414 Old Yale St Houston TX 77018-4506 Ph: (713) 695-6100 | Old Yale Adult Day Care 4414 Old Yale St Houston TX 77018-4506 Ph: (713) 695-6100 |
| NPI Number | 1376712455 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 07/21/2022 |
| Certification Date | 12/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376712455 | NPI | - | NPPES |
| 125917 | Other | TX | TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261QA0600X | Clinic/center - Adult Day Care | (Texas) | Primary |
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