Provider Demographics
NPI:1629554829
Name:CRABTREE DEAFBLIND SERVICES, INC.
Entity Type:Organization
Organization Name:CRABTREE DEAFBLIND SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-849-8506
Mailing Address - Street 1:PO BOX 131835
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77219-1835
Mailing Address - Country:US
Mailing Address - Phone:281-849-8506
Mailing Address - Fax:
Practice Address - Street 1:1210 W CLAY ST STE 6
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-4174
Practice Address - Country:US
Practice Address - Phone:281-849-8506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health