Provider Demographics
NPI:1679982466
Name:SNUGG HARBOR INC.
Entity Type:Organization
Organization Name:SNUGG HARBOR INC.
Other - Org Name:R & R RESERVE INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
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:MALMFTLSOTP
Authorized Official - Phone:713-480-3534
Mailing Address - Street 1:515 A SOUTH FRY RD # 306
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450
Mailing Address - Country:US
Mailing Address - Phone:713-480-3534
Mailing Address - Fax:
Practice Address - Street 1:515A S FRY RD # 306
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2214
Practice Address - Country:US
Practice Address - Phone:713-480-3534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:R & R RESERVE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child