Provider Demographics
NPI:1538579750
Name:WELL ABLE LIFE EMPOWERMENT CENTER
Entity type:Organization
Organization Name:WELL ABLE LIFE EMPOWERMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HATTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-410-5607
Mailing Address - Street 1:6511 MARDALE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-2210
Mailing Address - Country:US
Mailing Address - Phone:832-410-5607
Mailing Address - Fax:
Practice Address - Street 1:6511 MARDALE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-2210
Practice Address - Country:US
Practice Address - Phone:832-410-5607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management