Provider Demographics
NPI:1518160217
Name:BENITA L. STIGGERS
Entity Type:Organization
Organization Name:BENITA L. STIGGERS
Other - Org Name:BLT RESIDENTIAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BENITA
Authorized Official - Middle Name:L
Authorized Official - Last Name:STIGGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-203-2947
Mailing Address - Street 1:4520 BLUE MESA LN
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-8253
Mailing Address - Country:US
Mailing Address - Phone:972-203-9289
Mailing Address - Fax:
Practice Address - Street 1:4520 BLUE MESA LN
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-8253
Practice Address - Country:US
Practice Address - Phone:972-203-2947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes177F00000XOther Service ProvidersLodgingGroup - Multi-Specialty