Provider Demographics
NPI:1871786400
Name:MOTHERS LOVE
Entity type:Organization
Organization Name:MOTHERS LOVE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CREATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANEANNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:713-419-8085
Mailing Address - Street 1:3203 SANTANA DR
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-8525
Mailing Address - Country:US
Mailing Address - Phone:713-419-8085
Mailing Address - Fax:281-354-7706
Practice Address - Street 1:3203 SANTANA DR
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-8525
Practice Address - Country:US
Practice Address - Phone:713-419-8085
Practice Address - Fax:281-354-7706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility