Provider Demographics
NPI:1235947912
Name:VILLAGE FOREST CARE COTTAGE. LLC
Entity type:Organization
Organization Name:VILLAGE FOREST CARE COTTAGE. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-755-8702
Mailing Address - Street 1:3200 AVENUE N
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-4603
Mailing Address - Country:US
Mailing Address - Phone:281-755-8702
Mailing Address - Fax:832-451-6617
Practice Address - Street 1:3200 AVENUE N
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-4603
Practice Address - Country:US
Practice Address - Phone:281-755-8702
Practice Address - Fax:832-451-6617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)