OrganizationActive
Sr Sam
NPI 1457787079 · Custodial Care Facility · La Porte, TX
Provider details
- NPI number
- 1457787079
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Constance Gordon, Owner
Practice location
502 N 5th St
La Porte, TX 77571-3310
Phone: (832) 677-2248
Fax: (281) 471-1263
Mailing address
502 N 5th St
La Porte, TX 77571-3310
Registry dates
- Enumerated
- 2013-09-16
- Last updated
- 2013-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.