Provider Demographics
NPI:1689114555
Name:FROGGIES HELPING HANDS
Entity Type:Organization
Organization Name:FROGGIES HELPING HANDS
Other - Org Name:FROGGIES REACHING OUT RESIDENTIAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-646-3171
Mailing Address - Street 1:209 SOUTH MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LONE STAR
Mailing Address - State:TX
Mailing Address - Zip Code:75668
Mailing Address - Country:US
Mailing Address - Phone:903-646-3171
Mailing Address - Fax:
Practice Address - Street 1:209 SOUTH MAIN ST.
Practice Address - Street 2:
Practice Address - City:LONE STAR
Practice Address - State:TX
Practice Address - Zip Code:75668
Practice Address - Country:US
Practice Address - Phone:903-646-3171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FROGGIES HELPING HANDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities