Provider Demographics
NPI:1871795930
Name:A.S.U.I HEALTHCARE AND DEVELOPMENT CENTER
Entity type:Organization
Organization Name:A.S.U.I HEALTHCARE AND DEVELOPMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMIEN
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELOR'S DEGREE
Authorized Official - Phone:713-330-0296
Mailing Address - Street 1:1140 WESTMONT DR STE 415
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-4368
Mailing Address - Country:US
Mailing Address - Phone:713-330-0296
Mailing Address - Fax:713-330-4114
Practice Address - Street 1:1140 WESTMONT DR STE 415
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-4368
Practice Address - Country:US
Practice Address - Phone:713-330-0296
Practice Address - Fax:713-330-4114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child