Provider Demographics
NPI:1326551839
Name:SCOTT&BREAUX'S ASSISTED LIVING FACILITIES
Entity type:Organization
Organization Name:SCOTT&BREAUX'S ASSISTED LIVING FACILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARDEN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BREAUX
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:832-350-1845
Mailing Address - Street 1:898 1/2 GRANVILLE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-2338
Mailing Address - Country:US
Mailing Address - Phone:832-350-1845
Mailing Address - Fax:
Practice Address - Street 1:2119 PAUL QUINN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-5437
Practice Address - Country:US
Practice Address - Phone:832-350-1845
Practice Address - Fax:713-691-4099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility