Provider Demographics
NPI:1720593791
Name:BLESSINGS RANCH OF CENTRAL TEXAS
Entity Type:Organization
Organization Name:BLESSINGS RANCH OF CENTRAL TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:DURGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-618-1135
Mailing Address - Street 1:300 SONTERRA BLVD
Mailing Address - Street 2:
Mailing Address - City:JARRELL
Mailing Address - State:TX
Mailing Address - Zip Code:76537
Mailing Address - Country:US
Mailing Address - Phone:419-618-1135
Mailing Address - Fax:
Practice Address - Street 1:300 SONTERRA BLVD
Practice Address - Street 2:
Practice Address - City:JARRELL
Practice Address - State:TX
Practice Address - Zip Code:76537
Practice Address - Country:US
Practice Address - Phone:419-618-1135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No251S00000XAgenciesCommunity/Behavioral Health