Provider Demographics
NPI:1538304290
Name:RUTH MARIE'S COUNTRY HOME
Entity Type:Organization
Organization Name:RUTH MARIE'S COUNTRY HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-822-0826
Mailing Address - Street 1:17414 SUGAR PINE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2052
Mailing Address - Country:US
Mailing Address - Phone:713-822-0826
Mailing Address - Fax:
Practice Address - Street 1:17414 SUGAR PINE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2052
Practice Address - Country:US
Practice Address - Phone:713-822-0826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services