Provider Demographics
NPI:1679853014
Name:TANNER PERRY, INC.
Entity type:Organization
Organization Name:TANNER PERRY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SEDALIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-842-4236
Mailing Address - Street 1:7416 CURRY ROAD
Mailing Address - Street 2:TANNER PERRY INC./DBA/ LOVE AND PEACE ASSISTED LIVING
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77093
Mailing Address - Country:US
Mailing Address - Phone:713-694-4800
Mailing Address - Fax:713-694-4800
Practice Address - Street 1:4403 ROSENEATH DR
Practice Address - Street 2:4403 ROSENEATH DRIVE
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-1616
Practice Address - Country:US
Practice Address - Phone:713-694-4800
Practice Address - Fax:713-694-4800
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TANNER PERRY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX129470310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility