Provider Demographics
NPI:1427451897
Name:DONNA ASSISTED LIVING INC
Entity type:Organization
Organization Name:DONNA ASSISTED LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:N
Authorized Official - Last Name:MOTURI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-472-5420
Mailing Address - Street 1:522 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-2753
Mailing Address - Country:US
Mailing Address - Phone:956-472-5420
Mailing Address - Fax:
Practice Address - Street 1:522 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-2753
Practice Address - Country:US
Practice Address - Phone:956-472-5420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No385H00000XRespite Care FacilityRespite Care
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp