Provider Demographics
NPI:1063728848
Name:AVANT RESIDENTIAL AND COMMUNITY RESOURCES COR.
Entity type:Organization
Organization Name:AVANT RESIDENTIAL AND COMMUNITY RESOURCES COR.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AVA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-971-6062
Mailing Address - Street 1:24610 AMBERLEAF CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4299
Mailing Address - Country:US
Mailing Address - Phone:832-971-6062
Mailing Address - Fax:866-356-0622
Practice Address - Street 1:24610 AMBERLEAF CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4299
Practice Address - Country:US
Practice Address - Phone:832-971-6062
Practice Address - Fax:866-356-0622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care