Provider Demographics
NPI:1255825394
Name:DAYSPRING THERAPEUTIC EQUESTRIAN CENTER OF HARRISON COUNTY INC
Entity Type:Organization
Organization Name:DAYSPRING THERAPEUTIC EQUESTRIAN CENTER OF HARRISON COUNTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:FOGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-980-2535
Mailing Address - Street 1:2609 FERN LAKE CUTOFF
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75672
Mailing Address - Country:US
Mailing Address - Phone:817-980-2535
Mailing Address - Fax:
Practice Address - Street 1:2609 FERN LAKE CUTOFF
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75672
Practice Address - Country:US
Practice Address - Phone:817-980-2535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty