Provider Demographics
NPI:1578713467
Name:R&R RESERVE
Entity Type:Organization
Organization Name:R&R RESERVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COE
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSALYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RUFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-480-3534
Mailing Address - Street 1:515 S FRY RD STE A
Mailing Address - Street 2:SUITE 306
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-9100
Mailing Address - Country:US
Mailing Address - Phone:713-480-3534
Mailing Address - Fax:281-398-1452
Practice Address - Street 1:1270 COUNTY ROAD 2293
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-0299
Practice Address - Country:US
Practice Address - Phone:713-480-3534
Practice Address - Fax:281-398-1452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility