Provider Demographics
NPI:1306401195
Name:JUDAH RESOURCES
Entity type:Organization
Organization Name:JUDAH RESOURCES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:AMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-714-0836
Mailing Address - Street 1:11152 WESTHEIMER RD # 1094
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3208
Mailing Address - Country:US
Mailing Address - Phone:713-714-0836
Mailing Address - Fax:855-247-4172
Practice Address - Street 1:11152 WESTHEIMER RD # 1094
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3208
Practice Address - Country:US
Practice Address - Phone:713-714-0836
Practice Address - Fax:855-247-4172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility